SANJAY P PRABHU (NPI# 1861627796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861627796 |
Entity Type | Individual |
Full Name | SANJAY P PRABHU |
Credential | M.D. |
Practice Address |
300 Longwood Avenue Children's Hospital Boston/radiology Boston MA 02115 |
Practice Telephone | 6173556936 |
Practice Fax Number | 6177300549 |
Mailing Telephone | 6173556936 |
Mailing Fax Number | 6177300549 |
Enumeration Date | 2009-05-21 |
Last Update Date | 2014-06-03 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085P0229X |
Radiology Specialization: Pediatric Radiology |
239721 | MA | Allopathic & Osteopathic Physicians |
N | 282NC2000X |
General Acute Care Hospital Specialization: Children |
239721 | MA | Hospitals |
Street Address |
300 LONGWOOD AVENUE CHILDREN'S HOSPITAL BOSTON/RADIOLOGY |
City | BOSTON |
State | MA |
Zip Code | 02115 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912905944 | Neil Schechter | Pediatrics | 300 Longwood Avenue, Boston, MA 02115-5784 | 2005-07-13 |
1629676960 | Rose Ashraf | Psychologist | 300 Longwood Avenue, Outpatient Psychiatry Fegan 8, Boston, MA 02115 | 2020-10-09 |
1295347342 | Thomas Head Raddall Iv | Dentist | 300 Longwood Avenue, Boston Children's Hospital - Department of Dentistry, Boston, MA 02115 | 2020-08-20 |
1366050858 | Pui Yin Florence Ip | Student in an Organized Health Care Education/Training Program | 300 Longwood Avenue, Boston Children's Hospital, Boston, MA 02115 | 2020-07-21 |
1255992152 | Antonia Schulz | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 300 Longwood Avenue, Cardiac Surgery, Boston, MA 02115 | 2019-06-22 |
1144881160 | Pierre-olivier Grenier | Dermatology | 300 Longwood Avenue, Boston, MA 02115 | 2019-06-21 |
1275190548 | Osama Samir Badr Aglan | Student in an Organized Health Care Education/Training Program | 300 Longwood Avenue, Boston, MA 02115 | 2019-05-22 |
1376108563 | Patrick B Duffy | Student in an Organized Health Care Education/Training Program | 300 Longwood Avenue, Radiology, Boston, MA 02115 | 2019-05-03 |
1487113734 | Kathryn Maria Sundheim | Student in an Organized Health Care Education/Training Program | 300 Longwood Avenue, Bch Hunnewell Building, Pavilion 129, Housestaff Lounge, Boston, MA 02115 | 2019-03-17 |
1306320890 | Kumar K Shashi | Student in an Organized Health Care Education/Training Program | 300 Longwood Avenue, Radiology, Boston, MA 02115 | 2018-09-20 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013524339 | Jacqueline Busa | Student in an Organized Health Care Education/Training Program | Northeastern University 336 Huntington Ave, Boston, MA 02115 | 2020-09-30 |
1417564279 | Katherine Rose Brainard | Student in an Organized Health Care Education/Training Program | 336 Huntington Avenue, Boston, MA 02115 | 2020-09-25 |
1679189112 | Tara Baxter | Orthopaedic Surgery | Boston Children's Hospital - Sports Medicine Division, 319 Longwood Avenue, Boston, MA 02115 | 2020-09-21 |
1053923110 | Wendy Tu | Student in an Organized Health Care Education/Training Program | 75 Francis Street Abdominal Imaging and Intervention, Department of Radiology, Brigham and Women's Hospital, Boston, MA 02115 | 2020-08-20 |
1477177335 | Nicolas Wyvekens | Student in an Organized Health Care Education/Training Program | 75 Francis Street Department of Pathology, Brigham And, Boston, MA 02115 | 2020-06-05 |
1669095923 | Erin Crocker | Student in an Organized Health Care Education/Training Program | Northeastern University Physician Assistant Program, 360 Huntington Avenue, Boston, MA 02115 | 2020-05-21 |
1033732417 | Tyler Francis Hayes | Student in an Organized Health Care Education/Training Program | Gordon Hall, Suite 213, 25 Shattuck Street, Boston, MA 02115 | 2020-05-20 |
1982225090 | Emily Blake | Student in an Organized Health Care Education/Training Program | 202 Robinson Hall, 360 Huntington Avenue, Boston, MA 02115 | 2020-04-29 |
1891315495 | Stephanie Schoch | Student in an Organized Health Care Education/Training Program | 360 Huntington Ave., 202 Robinson Hall, Boston, MA 02115 | 2020-04-23 |
1427678093 | Meghan Miles | Student in an Organized Health Care Education/Training Program | 360 Huntington Avenue 202 Robinson Hall, Boston, MA 02115 | 2020-04-23 |
Find all providers in zip 02115 |
Taxonomy Code | 2085P0229X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Pediatric Radiology |
A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982625638 | Jeanne San-yu Chow | Radiology | 55 Fruit Street Blk 10, Vincent Obgyn Service, Boston, MA 02114 | 2006-07-21 |
1275940579 | Gabrielle Colleran | Radiology | 300 Longwood Ave, Department of Radiology, Boston, MA 02115-5724 | 2014-07-18 |
1619380359 | Ross Anthony Myers | Radiology | 300 Longwood Ave, Boston, MA 02115-5724 | 2014-06-10 |
1346668209 | Eric Su-cherng Bih | Radiology | 300 Longwood Ave, Boston, MA 02115 | 2014-03-28 |
1487095295 | Micheal Anthony Breen | Radiology | 300 Longwood Ave, Department of Radiology, Boston, MA 02115-5724 | 2013-07-09 |
1407102569 | Aisling Ld Snow | Radiology | 300 Longwood Ave, Department of Radiology, Boston, MA 02115-5724 | 2012-07-26 |
1578850368 | Wendy Kim | Radiology | 300 Longwood Ave, Department of Radiology, Boston, MA 02115-5724 | 2011-06-30 |
1689969164 | Jungwhan John Choi | Radiology | 300 Longwood Ave, Boston, MA 02115 | 2011-06-13 |
1750692869 | Abbey J Winant | Radiology | 300 Longwood Ave, Boston Childrens Hospital Department of Radiology, Boston, MA 02115-5724 | 2010-06-24 |
1073836417 | Shreya Sood | Radiology | 300 Longwood Ave, Department of Radiology, Boston, MA 02115-5724 | 2010-03-11 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.