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Individual

RAMESH R MUNDRA

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
106 EAST MAIN ST, WESTBOROUGH, MA 01581
(508) 898-2338
(508) 366-9938
Mailing address
630 PLANTATION ST, WOT 12TH FLOOR, ATTN: PHYSICIAN SERVICES, WORCESTER, MA 01605
(508) 368-5529
(508) 368-5530

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
38048
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2033658
MEDICAID WELFARE
05
2033658
MA
01
26841
CHILDRENS MED SECURITY
01
5296161
AETNA US HEALTHCARE
01
5327618
CIGNA HEALTH PLAN
01
784164
MVP HEALTH CARE
01
918070
FIRST HEALTH
01
9900229
FALLON COMMUNITY HEALTH
01
AA1254
HARVARD PILGRIM
01
E18009
BLUE SHIELD INDEMNITY
Enumeration date
02/27/2006
Last updated
07/08/2007
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