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Contact Information

PRABHUDEV PRASAD A PURUDAPPA, MBBS
150 S HUNTINGTON AVE # 6C
BOSTON, MA02130-4817
 Phone: 857-364-4720
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Adult Reconstructive Orthopaedic Surgery

207XS0114X 02 Physician/General Surgery
 

Sports Medicine

207XX0005X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for PRABHUDEV PRASAD A PURUDAPPA · (Male)

NPI Number 1841523529
Status Active
Credentials MBBS
Entity Individual
Enumeration date 09/11/2009
Last updated 11/19/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • IA License # MD40483
  • MA License # 1016126
  • MA License # L-240117
  • MN License # 105713
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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