Pranav Prakash
Internist - Addiction Medicine Gynecologist
380 Elm St Ste 2
North Attleboro
, Massachusetts 02760-3314
Pranav Prakash
Internist - Addiction Medicine Gynecologist
380 Elm St Ste 2
North Attleboro
, Massachusetts 02760-3314
(617) 448-5938
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About
Features
Specialties
- Internist - Addiction Medicine
- Gynecologist
Languages spoken
- English
Location
First Address
- Pranav Prakash
- 380 Elm St Ste 2
- North Attleboro, MA
- Zip : 02760-3314
- Phone : (617) 448-5938
Second Address
- Pranav Prakash
- 380 Elm St Ste 2
- North Attleboro, MA
- Zip : 02760-3314
- Phone : (617) 448-5938
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Is Pranav Prakash a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207RA0401X | Internist - Addiction Medicine | 212831 | MA |
| Y | 207VG0400X | Gynecologist | 212831 | MA |
National Provider Identifier
| NPI | 1467421230 |
|---|---|
| Provider Name | Pranav Prakash |
| First Address | North Attleboro, MA 02760-3314 |
| Second Address | North Attleboro, MA 02760-3314 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/03/2006 |
| Last Update Date | 07/02/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 043288841 | COVENTRY HEALTHCARE (01) | |
| 043288841 | MULTIPLAN (01) | |
| 043288841 | TRICARE (01) | |
| 1053866 | FALLON (01) | |
| 110133306A | MASS HEALTH INDIVIDUAL PROVIDER (01) | MA |
| 110153567A | MASS HEALTH GROUP PROVIDER (01) | MA |
| 1467421230 | AETNA (01) | |
| 1467421230 | BMC HEALTHNET (01) | |
| 1467421230 | CIGNA (01) | |
| 1467421230 | HARVARD PILGRIM HEALTHCARE (01) | |
| 1467421230 | NETWORK HEALTH PLAN (01) | |
| 1467421230 | TUFTS (01) | |
| 1467421230 | UNICARE STATE INDEMNITY (GIC) (01) | MA |
| 1467421230 | UNITED HEALTHCARE (01) | |
| 29759-2 | BCBS OF RI (01) | RI |
| 412815 | BLUECHIP (01) | |
| 44354 | CHILDREN'S MEDICAL SECURITY PLAN (01) | |
| 44354 | HEALTHY START (01) | |
| H69397 | (02) | |
| J25530 | BCBS OF MA (01) | MA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.