Gokul Vr Prakash, MD | |
575 Turnpike St, North Andover, MA 01845-5924 | |
(978) 682-2310 | |
(978) 682-8206 |
Full Name | Gokul Vr Prakash |
---|---|
Gender | Male |
Speciality | Surgery |
Location | 575 Turnpike St, North Andover, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528065364 | NPI | - | NPPES |
2087189 | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 42433 (Massachusetts) | Primary |
Entity Name | Steward Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629398219 PECOS PAC ID: 2860688728 Enrollment ID: O20101119000332 |
Mailing Address | Practice Location Address |
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Gokul Vr Prakash, MD 575 Turnpike St, North Andover, MA 01845-5924 Ph: (978) 682-2310 | Gokul Vr Prakash, MD 575 Turnpike St, North Andover, MA 01845-5924 Ph: (978) 682-2310 |
Dr. Waleed H Hassanein, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 30 Windkist Farm Rd, North Andover, MA 01845 Phone: 617-510-3327 | |
Patrick V Marasco Jr., MD Surgery Medicare: Medicare Enrolled Practice Location: 43 High St, Suite 110b, North Andover, MA 01845 Phone: 978-687-3242 Fax: 978-208-8414 | |
Dr. Robert D Moore, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 575 Turnpike St, North Andover, MA 01845 Phone: 978-682-2310 |