Individual
INDRANI MALKANI
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
421 CHANDLER ST, WORCESTER, MA 01602-2915
(508) 752-4511
(508) 797-4729
Mailing address
421 CHANDLER ST, WORCESTER, MA 01602-2915
(508) 752-4511
(508) 797-4729
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
151354
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9774342
—
MA
Enumeration date
07/01/2005
Last updated
07/08/2007
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