Individual
MS. KAVITA DAVINA KETWAROO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
40 HOLLAND ST, SOMERVILLE, MA 02144-2705
(617) 629-6000
Mailing address
40 HOLLAND ST, SOMERVILLE, MA 02144-2705
(617) 629-6000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
264367
MA
207R00000X
Internal Medicine Physician
Primary
264367
MA
Other
Enumeration date
06/17/2012
Last updated
12/11/2017
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