Individual
URMILA KHETTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
LAHEY CLINIC, 41 MALL RD., BURLINGTON, MA 01805-0001
(781) 744-5100
(781) 744-5263
Mailing address
LAHEY CLINIC, 41 MALL RD., BURLINGTON, MA 01805-0001
(781) 744-5100
(781) 744-5263
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
39107
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110047057A
—
MA
05
—
3048861
—
MA
Enumeration date
12/18/2006
Last updated
11/16/2010
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