Individual
KATHLEEN M OGRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
378 MAPLE AVE, SHREWSBURY, MA 01545-2673
(508) 595-2513
(508) 595-2021
Mailing address
5 NEPONSET ST FL STREET2, WORCESTER, MA 01606-2714
(508) 368-5532
(508) 595-2021
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
52475
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0122971
MEDICAID PCC
—
01
—
0404469
EVERCARE
—
01
—
042472266
ONE HEALTH PLAN
—
01
—
110244780
RAILROAD MEDICARE
—
01
—
5848197
AETNA
—
01
—
6175082
MEDICAID WELFARE
—
05
—
6175082
—
MA
01
—
6566284
CIGNA HEALTH PLAN
—
01
—
784169
MVP HEALTH CARE
—
01
—
9900827
FALLON COMM HEALTH PLAN
—
01
—
AA1239
HARVARD PILGRIM HLTHCARE
—
01
—
J03040
BLUE CARE ELECT
—
Enumeration date
05/17/2006
Last updated
03/26/2019
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