Individual
DR. MUDDANA HARIBABU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10 WINTHROP ST, SUITE#319, WORCESTER, MA 01604-4435
(508) 753-2240
(508) 753-3990
Mailing address
10 WINTHROP ST, WORCESTER, MA 01604-4435
(508) 753-2240
(508) 753-3990
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
42995
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2064332
—
MA
Enumeration date
09/22/2006
Last updated
07/08/2007
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