Individual
KENKRE G MAHESH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
120 N MAIN ST, SUITE 201, ATTLEBORO, MA 02703-2248
(508) 222-8444
(508) 226-3713
Mailing address
28 STURDY ST, SUITE 201, ATTLEBORO, MA 02703-3148
(508) 226-7788
(508) 226-7922
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
59809
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9724974
—
MA
Enumeration date
09/13/2006
Last updated
03/17/2016
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