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Individual

KAVITHA NUTAKKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
65 CANAL ST, MILLBURY, MA 01527-3266
(508) 865-9960
(508) 865-3399
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
(508) 334-1977

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
292463
MA

Other

Enumeration date
03/22/2019
Last updated
07/29/2022
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