Individual
NUTAN GOWDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
281 LINCOLN ST, WORCESTER, MA 01605-2138
(508) 334-5979
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
292580
MA
207R00000X
Internal Medicine Physician
0101255141
VA
207R00000X
Internal Medicine Physician
292580
MA
Other
Enumeration date
07/12/2010
Last updated
05/19/2025
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