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Suma Chandra Kannabiran, MD
Diagnostic Radiology Physician in Worcester, Massachusetts
NPI 1053602235

Suma Chandra Kannabiran is a Diagnostic Radiology Physician based in Boston, MA and is specialized in Diagnostic Radiology. Suma Chandra Kannabiran practices in Worcester, MA and has the professional credentials of MD. The NPI Number for Suma Chandra Kannabiran is 1053602235 and holds a License No. (Massachusetts).

The current practice location address for Suma Chandra Kannabiran is 55 Lake Avenue North, Worcester, MA and can be reached out via phone at 508-334-1000.

Location: 55 Lake Avenue North, Worcester, MA, 02241-5348
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053602235
Provider Name
Suma Chandra Kannabiran
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
55 Lake Avenue North, Worcester, MA, 02241-5348
Phone Number
508-334-1000
Fax Number
Provider Enumeration Date
04/22/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
110134748A 05 MA
institution
Provider Business Practice Location Address Details
Address
55 Lake Avenue North
City
Worcester
State
Massachusetts
Zip
01655
Phone Number
508-334-1000
Fax Number
person
Provider Business Mailing Address Details
Address
55 Lake Avenue North
City
Worcester
State
Massachusetts
Zip
01655
Phone Number
508-334-1000
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
279413 (Massachusetts)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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