Prabhu, Malavika

Prabhu, Malavika is an individual health care provider with primary practice located at 55 Fruit St , Boston MA 02114-2621. She recently has only one registered license in Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, which is considered as her primary health care specialty. Prabhu, Malavika can be contacted via phone (617) 724-2229.

Contact Information

Primary practice address
55 Fruit St Boston MA 02114-2621
Phone: (617) 724-2229
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X 23616 New Hampshire
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X 262386 Massachusetts
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X 297366 New York

Profile Details

NPI number 1861781452
LBN Legal business name Prabhu, Malavika
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2011
Last updated Feb 13th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861781452 NPPES
New Hampshire MEDICAID 3137724

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