Individual
DR. BASAVARAJ KERUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655
(774) 441-8082
(774) 441-8056
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(888) 225-8885
(508) 334-1977
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
249732
MA
2080P0206X
Pediatric Gastroenterology Physician
Primary
249732
MA
2080P0206X
Pediatric Gastroenterology Physician
MD14582
RI
208M00000X
Hospitalist Physician
249732
MA
Other
Enumeration date
08/29/2008
Last updated
11/04/2020
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