Individual
DR. ANIL VARMA VENKATA VATSAVAYI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 LAKE AVE N, PSYCHIATRY, WORCESTER, MA 01655-0002
(508) 856-6580
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
259199
MA
2084P0800X
Psychiatry Physician
259199
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/21/2008
Last updated
12/23/2014
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