Provider Demographics
NPI:1215033188
Name:PRABHAKAR, SATHYAVANI M (MD)
Entity Type:Individual
Prefix:
First Name:SATHYAVANI
Middle Name:M
Last Name:PRABHAKAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:41 MALL RD
Mailing Address - Street 2:LAHEY HOSPITAL AND MEDICAL CENTER
Mailing Address - City:BURLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:01805-0001
Mailing Address - Country:US
Mailing Address - Phone:855-934-4488
Mailing Address - Fax:781-744-5636
Practice Address - Street 1:41 MALL RD
Practice Address - Street 2:LAHEY HOSPITAL AND MEDICAL CENTER
Practice Address - City:BURLINGTON
Practice Address - State:MA
Practice Address - Zip Code:01805-0001
Practice Address - Country:US
Practice Address - Phone:855-934-4488
Practice Address - Fax:781-744-5636
Is Sole Proprietor?:No
Enumeration Date:2006-09-16
Last Update Date:2021-07-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA265935207RE0101X, 207RB0002X
NY002720207RE0101X
WI53655207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RB0002XAllopathic & Osteopathic PhysiciansInternal MedicineObesity Medicine
No207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism