Dr. Pankaj Anil Ksheersagar
Family Doctor
119 Belmont St
Worcester
, Massachusetts 01605-2903
Dr. Pankaj Anil Ksheersagar
Family Doctor
119 Belmont St
Worcester
, Massachusetts 01605-2903
(508) 334-1977
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About
Features
Specialties
- Family Doctor
Languages spoken
- English
Location
First Address
- Dr. Pankaj Anil Ksheersagar
- Po Box 415348
- Boston, MA
- Zip : 02241-5348
- Fax : (508) 334-1977
- Phone : (800) 225-8885
Second Address
- Dr. Pankaj Anil Ksheersagar
- 119 Belmont St
- Worcester, MA
- Zip : 01605-2903
- Phone : (508) 334-5571
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Q00000X | Family Doctor | 049463 | CT |
| Y | 207Q00000X | Family Doctor | 259238 | MA |
| N | 207Q00000X | Family Doctor | 5472 | NE |
National Provider Identifier
| NPI | 1003030586 |
|---|---|
| Provider Name | Dr. Pankaj Anil Ksheersagar |
| First Address | Boston, MA 02241-5348 |
| Second Address | Worcester, MA 01605-2903 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/04/2007 |
| Last Update Date | 26/10/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 008032165 | (05) | CT |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.