License holder summary

Kavitha K Prakash is a Board Of Registration In Medicine licensed to practice in Massachusetts. The address on file for Kavitha K Prakash is Hospitalist Office, BIDMC, 330 Brookline Avenue, Palmer Baker Span 2, Boston 02130. This licensed professional license is current. The license was granted 05/07/2003 and expired on 03/24/2018.

Massachusetts

Division of Professional Licensure

Kavitha K Prakash
Board Of Registration In Medicine
License number
217659
Date granted
05/07/2003
Date expires
03/24/2018
Class
Board Of Registration In Medicine
Status
Active
Address
Hospitalist Office, BIDMC, 330 Brookline Avenue, Palmer Baker Span 2
licensingma.org
ID 41468070
LAST UPDATED 2024-06-01 17:42:09 UTC

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