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Contact Information

PRABAKAR THYAGARAJAN, MD
60 GRANITE STREET,
BAYRIDGE HOSPITAL,
LYNN, MA01904
 Phone: 781-477-6930
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for PRABAKAR THYAGARAJAN · (Male)

NPI Number 1033271010
Status Active
Credentials MD
Entity Individual
Enumeration date 12/15/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 152460
  • MA Medicaid 3163326
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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