Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. SREESUBHA P CHITTAMOORU, PHYSICIAN ASSISTANT
ActiveMS. SREESUBHA P CHITTAMOORU, PHYSICIAN ASSISTANT is a Physician Assistant healthcare provider located in WORCESTER, Massachusetts. NPI 1639454960 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · WORCESTER, MA
Registration Details
- NPI Number
- 1639454960
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 18, 2011 (14.781185381795 yrs)
- Last Updated
- Nov 6, 2024
- Licenses
-
PA4578 (MA)2665 (CT)2665 (CT)
Practice Information
- Address
-
55 LAKE AVE NWORCESTER, MA, 016550002Browse MA providers · Browse ZIP 01655
- Phone
- 5083340605
- Fax
- 5088565074
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
- Additional Specialty
- Surgical Physician Assistant
Other Physician Assistant Providers in WORCESTER, MA
| Name | Credential | NPI |
|---|---|---|
| STEFANIE A GOODRICH | PA | 1689665135 |
| HELEN S PAGE | PA | 1780662767 |
| MR. LEAWOOD P EMMERTON | PA C | 1407835333 |
| LORI R ROCHELEAU | PA | 1922087865 |
| ALBERT W DREXLER | PA | 1467431304 |
| MICHAEL T BENNETT | PA-C | 1396724563 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.