Individual
UJJWALA SEETHA BHAGAVATULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
101 WASON AVE, SPRINGFIELD, MA 01107-1140
(413) 272-6178
Mailing address
101 WASON AVE, SPRINGFIELD, MA 01107-1140
(413) 272-6178
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
284294
MA
Other
Enumeration date
07/14/2016
Last updated
04/13/2023
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