Individual provider · Type 1 NPI

Sreesubha P. Chittamooru, PHYSICIAN ASSISTANT

Physician Assistant · Worcester, MA

NPI number 1639454960 Active

Practice location

55 Lake Ave N
Worcester, MA 01655-0002

Call (508) 334-0605 Map

Fax (508) 856-5074

Mailing address

PO Box 415348
Boston, MA 02241-5348

Other practice locations

  • 34 Maple St, Norwalk Hospital - Department Of Surgery, Norwalk, CT 06850 · (203) 852-2188
  • 55 Lake Ave N, Worcester, MA 01655-0002 · (774) 443-7552
  • 41 Mall Rd, Burlington, MA 01805-0002 · (781) 744-8085

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA4578 (MA)
Physician Assistant 363A00000X2665 (CT)
Surgical Physician Assistant 363AS0400X2665 (CT)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

2,922 other providers at this address

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About NPI 1639454960

Sreesubha P. Chittamooru, PHYSICIAN ASSISTANT's National Provider Identifier is 1639454960, issued on Oct 18, 2011. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Worcester, MA. The record was last updated on Nov 6, 2024.