Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Sanjay P Prabhu, MD

Individual provider Children's Hospital · NPI 1861627796

Sanjay P Prabhu, MD is a Diagnostic Radiology in Boston, Massachusetts. Qualified in 1991, 35 years ago. Practices with Children's Hospital Radiology Foundation, Inc, a 58-clinician group. Licensed in Massachusetts.

Years since qualifying
35
Licensed in
MA
In the registry since
2009
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

300 Longwood Avenue Children's Hospital Boston/radiology
Boston, MA 02115
Phone: (617) 355-6936
Fax: (617) 730-0549
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Specialties & licences

Pediatric Radiology Physician (primary) Taxonomy 2085P0229X · Licence 239721 (MA)
Children's Hospital Taxonomy 282NC2000X · Licence 239721 (MA)

Record details

NPI number1861627796
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 21, 2009
Last updated in NPPESJune 3, 2014
Mailing address300 Longwood Avenue, Children'S Hospital Boston/Radiology, Boston, MA 02115

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Group practice Children'S Hospital Radiology Foundation, Inc. — 58 clinicians
Accepts Medicare assignment Not indicated

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