Individual
DR. ANITA KRISHNARAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0001
(508) 334-3068
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
(508) 334-1977
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
255736
MA
207RG0100X
Gastroenterology Physician
Primary
284224
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110165444A
—
MA
Enumeration date
06/13/2013
Last updated
03/27/2025
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