SearchMassachusetts363A00000X

Sreesubha Chittamooru, PHYSICIAN ASSISTANT

NPI 1639454960 · on the registry since 2011

Practice

Address
55 Lake Ave N
Worcester, MA 01655
Phone
(508) 334-0605
Fax
(508) 856-5074
Organisation at this address
Ummhc
Umass Memorial
Umass Memorial
Tele-Physicians Pc
Umass Memorial Group
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3,027

Additional practice sites

  • 34 Maple St, Norwalk, CT
  • 55 Lake Ave N, Worcester, MA
  • 41 Mall Rd, Burlington, MA

Registry record

Primary taxonomy
363A00000X
363A00000X
Also registered as
363A00000X
363AS0400X
Licence states on file
MA, CT
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-11-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts