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).
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 |
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 |
Address | Telephone Number | Fax Number |
---|---|---|
3300 Gallows Rd, Department of Medicine, Falls Church, VA 220423307 | 7037763582 |
Street Address |
55 LAKE AVENUE NORTH DEPARTMENT OF RADIOLOGY |
City | WORCESTER |
State | MA |
Zip Code | 01655 |
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 |
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 Code | 2085R0202X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Diagnostic Radiology |
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. |
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 |
Please comment or provide details below to improve the information on SUMA CHANDRA KANNABIRAN.
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.