Individual
KABILAN DHARMARAJAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
295 VARNUM AVE, LOWELL, MA 01854-2134
(978) 937-6439
Mailing address
41 MALL RD, BURLINGTON, MA 01805-0001
(781) 744-8659
(781) 744-5358
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
242032
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10083606A
—
MA
Enumeration date
03/13/2008
Last updated
10/17/2016
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