Individual
SHIVKUMAR BHADOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(617) 414-5951
(617) 414-9251
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(002) 258-8858
(508) 334-1977
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
1019345
MA
Other
Enumeration date
03/28/2019
Last updated
10/14/2024
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