Individual
ANDAL SADAGOPAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
900 UNION ST, WESTBOROUGH, MA 01581
(508) 871-0700
(508) 616-4411
Mailing address
5 NEPONSET ST FL ST2, WORCESTER, MA 01606-2714
(508) 368-5532
(508) 616-4411
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
209816
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0150541
MEDICAID WELFARE
—
01
—
0402312
EVERCARE
—
01
—
042472266
PRIVATE HEALTHCARE SYSTEM
—
05
—
110004175A
—
MA
01
—
110224092
RAILROAD MEDICARE
—
01
—
2044908
FIRST HEALTH
—
01
—
61237
FALLON COMMUNITY HEALTH
—
01
—
7585340
AETNA US HEALTHCARE
—
01
—
784140
MVP HEALTH CARE
—
01
—
9481376
CIGNA HEALTH PLAN
—
01
—
A32802
MEDICARE B
—
01
—
AA1292
HARVARD PILGRIM
—
01
—
J23700
BLUE SHIELD HMO BLUE
—
Enumeration date
01/03/2006
Last updated
04/12/2019
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