Individual
DR. VIJAYASIMHAM CHANNAMSETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
295 VARNUM AVE, LOWELL, MA 01854
(978) 937-6235
Mailing address
60 EAST ST STE 1400, METHUEN, MA 01844-4550
(978) 689-4601
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
41465
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2069458
—
MA
Enumeration date
05/11/2006
Last updated
08/22/2018
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