SearchMassachusetts122300000X

Shanti Smitha Telikicherla Kandala

NPI 1659756252 · on the registry since 2015

Practice

Address
19 Tacoma St
Worcester, MA 01605
Phone
(508) 854-2122
Fax
(508) 854-2122
Organisation at this address
Quest Diagnostics Massachusetts Llc
Edward M Kennedy Community Health Center
Edward M. Kennedy Community Health Center
Edward M. Kennedy Community Health Center, Inc
Edward M. Kennedy Community Health Center, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
219

Additional practice sites

  • 200 High St, Clinton, MA
  • 80 Redbud Way Apt 23, Marlborough, MA
  • 80 Redbud Way Apt 23, Marlborough, MA
  • 32 Concord St, Framingham, MA

Registry record

Primary taxonomy
122300000X
122300000X
Also registered as
122300000X
Licence states on file
MA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-03-17

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