Individual
DR. PANKAJ ANIL KSHEERSAGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.B.B.S.,M.D
Contact information
Practice address
119 BELMONT ST, WORCESTER, MA 01605-2903
(508) 334-5571
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
(508) 334-1977
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
049463
CT
207Q00000X
Family Medicine Physician
Primary
259238
MA
207Q00000X
Family Medicine Physician
5472
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008032165
—
CT
Enumeration date
04/13/2007
Last updated
10/26/2020
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