NPI 1174941819
Madhav Sukumaran, MDPHD
Practice location
- Address
- 55 Lake Avenue North, Worcester, MA 01655
- Phone
- (508) 334-0605
- Mailing address
- PO Box 415348, Boston, MA 02241-5348
Registered specialties
Neurological Surgery Physician
Primary
Registry record
- NPI
- 1174941819
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 31 Mar 2014
- Record last updated
- 25 Jun 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.