Individual
MEHRUNISSA KAZIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
123 SUMMER ST, WORCESTER, MA 01608-1216
(508) 363-6208
Mailing address
123 SUMMER ST, WORCESTER, MA 01608-1216
(508) 363-6208
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
267641
MA
207R00000X
Internal Medicine Physician
58043
KY
Other
Enumeration date
07/29/2016
Last updated
07/13/2023
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