Kerur, Basavaraj
Kerur, Basavaraj is an individual health care provider with primary practice located at 55 Lake Ave N , Worcester MA 01655. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Pediatric Gastroenterology is his primary health care specialty. Kerur, Basavaraj can be contacted via phone (774) 441-8082.Contact Information
Primary practice address
55 Lake Ave N
Worcester MA 01655
Phone: (774) 441-8082
Fax: (774) 441-8056
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 249732 | Massachusetts |
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology | 2080P0206X | MD14582 | Rhode Island |
Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 249732 | Massachusetts |
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology | 2080P0206X | 249732 | Massachusetts |
Profile Details
NPI number | 1871741181 |
---|---|
LBN Legal business name | Kerur, Basavaraj |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 29th, 2008 |
Last updated | Nov 4th, 2020 - about 4 years ago |
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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