Chandraker, Anil Kumar

Chandraker, Anil Kumar is an individual health care provider with primary practice located at 55 Lake Ave N , Worcester MA 01655-0002. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Chandraker, Anil Kumar can be contacted via phone (508) 334-3155.

Contact Information

Primary practice address
55 Lake Ave N Worcester MA 01655-0002
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 160919 Massachusetts

Profile Details

NPI number 1972569176
LBN Legal business name Chandraker, Anil Kumar
Credentials MBCHB
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Dec 18th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972569176 NPPES
Massachusetts MEDICAID 110062051A

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