Individual
VIJAY K KASTURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
33 KENDALL STREET, UMASS MEMORIAL CAMPUS, WORCESTER, MA 01605
(508) 334-6276
(508) 334-5620
Mailing address
PO BOX 415348, BOSTONE, MA 02241-5348
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
15884
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3191508
—
MA
Enumeration date
11/22/2005
Last updated
12/10/2010
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