Suresh Mamidala M.D

NPI 1437394350 - Internal Medicine - 207R00000X

NPI Details
NPI 1437394350
Gender Male
Enumeration Date 12/05/2008
Last Updated 04/10/2014
Entity Type Individual
Active Over 7 years ago
Practice Location
123 SUMMER STREET
WORCESTER MA, 01608, US
Phone (508) 363-5000
Fax
Business Location
123 SUMMER STREET
WORCESTER MA, 01608, US
Phone (508) 363-5000
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Massachusetts
License Number 241829
Remove 1437394350 NPI Number
 

According to our database, Suresh Mamidala M.D NPI is 1437394350, taxonomy code is 207R00000X and license number is 241829, license state is located at Massachusetts. Suresh Mamidala M.D physically located at 123 Summer Street, Worcester MA, 01608. NPI Number Suresh Mamidala M.D has the Individual type.

Sponsored links

1437394350 NPI number is provided on an as is basis without warranty of any kind. 1437394350 is maintained by the National Plan & Provider Enumeration System. The contents of Suresh Mamidala M.D are for informational purposes only.