Individual
KIRTI BASIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 334-3155
(508) 856-3111
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
(508) 973-2001
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
270161
MA
Other
Enumeration date
06/19/2014
Last updated
01/20/2023
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