Individual
FATIMA KHALID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 856-3155
(508) 856-3111
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
2015-01572
NC
207RN0300X
Nephrology Physician
Primary
277251
MA
207RN0300X
Nephrology Physician
U9006
TX
Other
Enumeration date
08/12/2010
Last updated
08/19/2024
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