Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 234701 | MA |
N | 111NI0900X | Internist | 234701 | MA |
NPI | 1003091935 |
---|---|
Provider Name | Madaiah Lokeshwari |
First Address | Worcester, MA 01608-1216 |
Second Address | Worcester, MA 01608-1216 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/01/2008 |
Last Update Date | 17/03/2018 |