SUMA CHANDRA KANNABIRAN


Address: 55 Lake Avenue North, Department of Radiology, Worcester, MA 01655
Phone: 5083341000

SUMA CHANDRA KANNABIRAN (NPI# 1053602235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053602235
Entity Type Individual
Full Name SUMA CHANDRA KANNABIRAN
Other Name DR. SUMA KANAKALALITA CHANDRA
Credential MD
Practice Address 55 Lake Avenue North
Department of Radiology
Worcester
MA 01655
Practice Telephone 5083341000
Mailing Telephone 5083341000
Enumeration Date 2011-04-22
Last Update Date 2019-10-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
279413 MA Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Provider Secondary Practice Location

Address Telephone Number Fax Number
3300 Gallows Rd, Department of Medicine, Falls Church, VA 220423307 7037763582

Office Location

Street Address 55 LAKE AVENUE NORTH
DEPARTMENT OF RADIOLOGY
City WORCESTER
State MA
Zip Code 01655

Providers in the same location

NPI Name Taxonomy Address Enumeration
1891779054 Mercedes Elvira Menendez Psychiatry & Neurology 55 Lake Avenue North, Umass Memorial Medical Center, Adult Mental Health Unit, Worcester, MA 01655-0002 2005-12-01
1750907358 Kiara Ortiz Student in an Organized Health Care Education/Training Program 55 Lake Avenue North, Umass Memorial Medical Center, Worcester, MA 01655 2020-06-19
1326668849 Jeremy Ezra Springer Student in an Organized Health Care Education/Training Program 55 Lake Avenue North, Worcester, MA 01655 2020-04-24
1851911457 Akanksha Gulati Student in an Organized Health Care Education/Training Program 55 Lake Avenue North, Worcester, MA 01655 2020-04-23
1093344467 Katherine Hendren Rose Student in an Organized Health Care Education/Training Program 55 Lake Avenue North, Worcester, MA 01655 2020-04-07
1801424007 Stephen Anders Student in an Organized Health Care Education/Training Program 55 Lake Avenue North, Worcester, MA 01655 2020-04-01
1316575590 Alexandria Capozza Student in an Organized Health Care Education/Training Program 55 Lake Avenue North, Worcester, MA 01655-0002 2020-04-01
1013545706 Pooja Prakash Kumar Student in an Organized Health Care Education/Training Program 55 Lake Avenue North, Worcester, MA 01655 2020-03-30
1598393373 Lila Kaminsky Student in an Organized Health Care Education/Training Program 55 Lake Avenue North, Worcester, MA 01655 2020-03-29
1386285831 Alyssa Richard-figueroa Social Worker 55 Lake Avenue North, Emergency Mental Health Service, Worcester, MA 01655 2019-10-07
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205489713 Darryl Sweeper Jr. Student in an Organized Health Care Education/Training Program 55 Lake Avenue North, Psychiatry, Umass Memorial Medical Center, Worcester, MA 01655 2019-07-23
1225690530 Ryan Zenevitch Student in an Organized Health Care Education/Training Program 55 Lake Avenue North, Family Medicine, Umass Memorial Medical Center, Worcester, MA 01655 2019-07-08
1932688454 Victoria Sayeg Student in an Organized Health Care Education/Training Program 55 Lake Avenue North, Pediatrics, Worcester, MA 01655 2018-08-07
1114425675 Judith Dio Wentzell Social Worker Umassmemorial Medical Center, 55 Lake Ave North, Dept of Care Coordination, Worcester, MA 01655 2018-01-30
1861927386 Muhammad Waqas Khan Student in an Organized Health Care Education/Training Program University of Massachusetts 55 North Lake Ave, Neurology, Worcester, MA 01655 2017-04-21
1861806192 Qaiser Shamshir Khan Psychiatry & Neurology 55 Lake Ave N # S7-831, Worcester, MA 01655 2014-06-14
1073858981 Heidi Glover Nurse Practitioner 55 Lake Ave North Dept. of Pedi-adolescent, Ummc University Campus, Worcester, MA 01655 2012-12-04
1972867992 Anna Bjornsdottir Psychiatry & Neurology 55 Lake Av N, Worcester, MA 01655 2012-06-25
1245567676 Steven Edward Mckinley Nurse Practitioner 55 Lake Ave. North, Umass Memorial Medical Center University Campus, Worcester, MA 01655 2009-11-05
1851582951 Robin I Davidson Neurological Surgery 55 Lake Ave, North, Ummhc-univ Campus, Worcester, MA 01655 2007-08-05
Find all providers in zip 01655

Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1043508617 Kathryn R Wagner Radiology 10 Belvidere Ave, Worcester, MA 01605 2011-07-18
1922164755 Brian T Brochu Radiology U-mass Memorial Medical Center, 55 Lake Avenue North, Worcester, MA 01655 2006-12-28
1932291184 Nicholas Constantine Mazanitis Radiology 20 Westwood Drive, Worcester, MA 01609 2006-09-28
1053359935 David M Rogovitz Radiology 55 Lake Av North, Umass Memorial Medical Center, Worcester, MA 01655 2006-06-03
1407894777 David A Phillips Radiology 55 Lake Ave North, Umass Memorial/radiology, Worcester, MA 01655 2006-06-02
1134175441 Abigail M Childs Radiology 100 Grove St, Worcester, MA 01605-2627 2006-05-26
1790743177 Patricia H Sutman Radiology 55 Lake Ave N., Umass Memorial, Worcester, MA 01605 2006-05-03
1477520930 Jorge M Medina Radiology 55 Lake Ave N # S2-824, Worcester, MA 01655-0002 2006-03-03
1578554044 Christine L Petersen Radiology 135 Gold Star Blvd, Worcester, MA 01606-2738 2005-11-02
1689197196 Nazanin Hajarol Asvadi Radiology 123 Summer St, Worcester, MA 01608 2017-07-18
Find all providers in WORCESTER

Competitor

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City WORCESTER
Zip Code 01655

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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