Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 273493 | MA |
N | 111NI0900X | Internist | 273493 | MA |
Y | 207RI0200X | Infectious Disease | 273493 | MA |
NPI | 1003158635 |
---|---|
Provider Name | Humera Kausar |
First Address | Worcester, MA 01655-0002 |
Second Address | Beverly, MA 01915 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/03/2013 |
Last Update Date | 14/01/2020 |