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Individual

LAKSHMI NARAYAN N. SHANMUGHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
1 EATON PL STE 100, WORCESTER, MA 01608
(508) 363-7100
(508) 363-7170
Mailing address
PO BOX 11760, BELFAST, ME 04915-4008
(888) 402-7256
(888) 902-1099

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
232043
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110076073A
MA
Enumeration date
01/09/2007
Last updated
04/22/2025
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