| Swati Prabhakar, MBBS | |
| 
					100 Bowman Drive, Lower Level 1, Voorhees, NJ 08043  | |
| (856) 247-3000 | |
| Not Available | 
| Full Name | Swati Prabhakar | 
|---|---|
| Gender | Female | 
| Speciality | Hospitalist | 
| Location | 100 Bowman Drive, Lower Level 1, Voorhees, New Jersey | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1992284491 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207R00000X | Internal Medicine | D91623 (Maryland) | Secondary | 
| 208M00000X | Hospitalist | 25MA12380000 (New Jersey) | Primary | 
| Entity Name | Tidalhealth Specialty Care Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1619504735 PECOS PAC ID: 7113340845 Enrollment ID: O20200714000286  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Swati Prabhakar, MBBS 301 Lippincott Drive, Suite 410, Marlton, NJ 08053 Ph: (856) 355-0340  | Swati Prabhakar, MBBS 100 Bowman Drive, Lower Level 1, Voorhees, NJ 08043 Ph: (856) 247-3000  | 
Xiaowen Zhang, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 100 Bowman Dr Lowr Level1, Voorhees, NJ 08043 Phone: 856-247-3000 Fax: 856-247-2597  | |
Mona Domadia, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 100 Bowman Dr Lowr Level1, Voorhees, NJ 08043 Phone: 856-247-3000 Fax: 856-247-2597  | |
Raul Luis Berio-dorta, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 100 Bowman Drive, Voorhees, NJ 08043 Phone: 856-247-2594 Fax: 856-247-2597  | |
Dr. Amina Sosic, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 100 Bowman Dr Lowr Level1, Voorhees, NJ 08043 Phone: 856-247-3000  | |
Dr. Mohammad Abdeljawad, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 100 Bowman Drive, Voorhees, NJ 08043 Phone: 856-247-2594 Fax: 856-247-2597  | |
Maria Yaseen, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 100 Bowman Dr Lowr Level1, Voorhees, NJ 08043 Phone: 856-247-3000  | |
Laura Chec, DO Hospitalist Medicare: Medicare Enrolled Practice Location: 100 Bowman Dr Lowr Level1, Voorhees, NJ 08043 Phone: 856-247-3000  |