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Dr. Shambhavi Venkataraman, MBBS
Diagnostic Radiology Physician in Worcester, Massachusetts
NPI 1174731533

Shambhavi Venkataraman is a Diagnostic Radiology Physician based in Boston, MA and is specialized in Diagnostic Radiology. Shambhavi Venkataraman practices in Worcester, MA and has the professional credentials of MBBS. The NPI Number for Shambhavi Venkataraman is 1174731533 and holds a License No. 230902 (Massachusetts).

The current practice location address for Shambhavi Venkataraman is 55 Lake Ave N, Worcester, MA and can be reached out via phone at 508-334-3850 and via fax at 508-856-1860.

Location: 55 Lake Ave N, Worcester, MA, 02241-5348
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174731533
Provider Name
Shambhavi Venkataraman
Credential
MBBS
Provider Entity Type
Individual
Gender
Female
Address
55 Lake Ave N, Worcester, MA, 02241-5348
Phone Number
508-334-3850
Fax Number
508-856-1860
Provider Enumeration Date
05/18/2007
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
110075955A 05 MA
institution
Provider Business Practice Location Address Details
Address
55 Lake Ave N
City
Worcester
State
Massachusetts
Zip
01655-0002
Phone Number
508-334-3850
Fax Number
508-856-1860
person
Provider Business Mailing Address Details
Address
55 Lake Ave N
City
Worcester
State
Massachusetts
Zip
01655-0002
Phone Number
508-334-3850
Fax Number
508-856-1860
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
230902 (Massachusetts)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
230902 (Massachusetts)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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