Individual
DR. AMIRTHA VAHINI CHINNADURAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(774) 442-2131
(774) 443-7399
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
277021
MA
2080P0210X
Pediatric Nephrology Physician
Primary
277021
MA
Other
Enumeration date
08/31/2011
Last updated
10/19/2018
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