Individual
KOMAL TALATI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
295 VARNUM AVE, LOWELL, MA 01854
(978) 937-6429
Mailing address
295 VARNUM AVE, LOWELL, MA 01854-2134
(978) 937-6429
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
275568
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2012
Last updated
03/01/2019
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