Individual
DR. SHAMBHAVI VENKATARAMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBBS
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 334-3850
(508) 856-1860
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
(508) 334-1977
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
230902
MA
2085R0202X
Diagnostic Radiology Physician
036174999
IL
2085R0202X
Diagnostic Radiology Physician
Primary
230902
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110075955A
—
MA
Enumeration date
05/18/2007
Last updated
03/03/2026
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