Individual
SHASHIKALA DWARAKANATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 GENERAL STREET, LAWRENCE GENERAL HOSPITAL, LAWRENCE, MA 01842
(978) 683-4000
Mailing address
PO BOX 3045, LEWISTON, ME 04243-3045
(978) 683-4000
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
53529
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3030750
—
MA
Enumeration date
01/05/2007
Last updated
07/09/2007
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