Renu B Prakash, MD
Internal Medicine in Brockton, Massachusetts
1033104674- Practice location
- 235 N Pearl St, Brockton, MA 02301-1794
- Phone
- 617-789-3000
- Fax
- —
- Last updated
- March 17, 2025
Renu B Prakash is an Internal Medicine based in Brockton, MA. Renu B Prakash practices in Brockton, MA and has the professional credentials of MD. The NPI Number for Renu B Prakash is 1033104674 and holds a License No. 159456 (MA). The current practice location address for Renu B Prakash is 235 N Pearl St, Brockton, MA 02301-1794 and can be reached out via phone at 617-789-3000.
Provider Profile Details
- NPI Number
- 1033104674
- Provider Name
- Renu B Prakash
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 235 N Pearl St, Brockton, MA 02301-1794
- Phone Number
- 617-789-3000
- Primary Taxonomy
- Internal Medicine · 207R00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 20, 2005
- Last Update Date
- March 17, 2025
- Certification Date
- March 17, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 235 N Pearl St
Brockton, MA 02301-1794 - City
- Brockton
- State
- Massachusetts
- Zip
- 02301-1794
- Phone Number
- 617-789-3000
Provider Business Mailing Address Details
- Address
- 960 Massachusetts Ave Ste 2
Boston, MA 02118-2690 - City
- Boston
- State
- MA
- Zip
- 02118-2690
- Phone Number
- 617-414-4505
License Information
- License Number
- 159456
- License State
- MA
- Taxonomy
- Internal Medicine · 207R00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Renu B Prakash, MD?
The NPI number of Renu B Prakash, MD is 1033104674. It was assigned on September 20, 2005 and is currently active in the NPPES registry.
What is the specialty of Renu B Prakash, MD?
Renu B Prakash, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in MA under license number 159456.
Where does Renu B Prakash, MD practice?
The practice location is 235 N Pearl St, Brockton, MA 02301-1794. The office can be reached at 617-789-3000 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1033104674 directly on the NPPES registry website.