Individual
RIDA KAYANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
123 SUMMER ST, WORCESTER, MA 01608-1216
(508) 363-6350
Mailing address
25405 ELM TER, ALDIE, VA 20105-2588
(703) 577-2565
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PENDING
MA
Other
Enumeration date
04/17/2023
Last updated
04/17/2023
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