Madhavi P LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

235783 Issued in MA

Legal business name

MADHAVI P LLC

Doing business as

Madhavi Prasad, MD

Practice address

851 Middle St Ste 3300
Fall River, MA 02721-1779

Phone

(774) 847-9012

Fax

(774) 847-9736

NPI assigned

Aug 2, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Madhavi S.V. PrasadNPI 1083852610

Title

Owner

Phone

(774) 847-9012

Specialties & licenses 1

Addresses

Other names 1

• Madhavi Prasad, MD Doing business as

Medicare fee-for-service enrollment

Enrolled in MA, RI2 enrollments

Enrollment records 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Madhavi S.V. Prasad, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Fall River, MA
  • NPI 1083852610

  RI

  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1375401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629849600000",
    "number": "1902238884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 FRANKLIN ST",
            "city": "WRENTHAM",
            "state": "MA",
            "postal_code": "020931237",
            "telephone_number": "774-847-9012",
            "fax_number": "774-847-9736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 MIDDLE ST STE 3300",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027211779",
            "telephone_number": "774-847-9012",
            "fax_number": "774-847-9736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADHAVI P LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-02",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A",
        "authorized_official_last_name": "PRASAD",
        "authorized_official_first_name": "MADHAVI S.V.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "774-847-9012"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MA",
            "license": "235783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Madhavi Prasad, MD",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Madhavi Prasad, MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Physical Medicine & Rehabilitation Physician in Fall River, MA
• Providers in Fall River, MA by specialty
• Physical Medicine & Rehabilitation Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.