Individual
SASAN MAKIPOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 LAKE AVE N, INTERNAL MEDICINE RESIDENCY, WORCESTER, MA 01655-0002
(508) 334-1000
Mailing address
55 LAKE AVE N, INTERNAL MEDICINE RESIDENCY, WORCESTER, MA 01655-0002
(508) 334-1000
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
0101247432
VA
Other
Enumeration date
06/02/2010
Last updated
10/31/2017
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