Individual
KANCHANA MYNEEDU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
604 MAIN ST, SHREWSBURY, MA 01545-5663
(508) 842-0057
(508) 845-6571
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 255-8885
(508) 334-1977
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
289473
MA
Other
Enumeration date
05/08/2018
Last updated
09/30/2021
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