Dr Madhav Sukumaran, MD, PHD | |
55 Lake Avenue North, Worcester, MA 01655 | |
(508) 334-0605 | |
Not Available |
Full Name | Dr Madhav Sukumaran |
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Gender | Male |
Speciality | Neurological Surgery |
Location | 55 Lake Avenue North, Worcester, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1174941819 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207T00000X | Neurological Surgery | 287058 (Massachusetts) | Primary |
Entity Name | Umass Memorial Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760445373 PECOS PAC ID: 4284539891 Enrollment ID: O20040113000267 |
Entity Name | Brigham & Womens Physicians Organization Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033535497 PECOS PAC ID: 3870405988 Enrollment ID: O20150107001260 |
Mailing Address | Practice Location Address |
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Dr Madhav Sukumaran, MD, PHD Po Box 415348, Boston, MA 02241-5348 Ph: () - | Dr Madhav Sukumaran, MD, PHD 55 Lake Avenue North, Worcester, MA 01655 Ph: (508) 334-0605 |
Dr. Stephen M Gutting, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 508-334-0605 | |
Oguz I Cataltepe, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 55 Lake Ave N, Department Of Neurosurgery, Worcester, MA 01655 Phone: 508-334-0605 Fax: 508-856-5074 | |
Frederik A Pennings, M.D., PHD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 119 Belmont St, Worcester, MA 01605 Phone: 508-334-1886 Fax: 508-334-9769 | |
Richard P Moser, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 55 Lake Ave N, Department Of Surgery, Worcester, MA 01655 Phone: 508-334-0605 Fax: 508-856-5074 | |
Arno S. Sungarian, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 67 Belmont St, Worcester, MA 01605 Phone: 508-752-6381 Fax: 508-795-0407 | |
Farid Hamzei-sichani, Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 508-334-0605 Fax: 508-856-5074 |