Kavitha Chand Mamidala in Worcester - Contractor
Kavitha Chand Mamidala - NPI 1447383518
Kavitha Chand Mamidala is a Contractor in Worcester, Massachusetts. Kavitha Chand Mamidala practices all healthcare services and medical treatments related to Contractor. The NPI Number for Kavitha Chand Mamidala is 1447383518. The last update date is 2022-08-02.
Kavitha Chand Mamidala's current location address is 50 Gold Star Blvd, Worcester, Massachusetts. You can contact this provider via phone number 5088569510 and fax number 5088531907. The mailing address for Kavitha Chand Mamidala is 50 Gold Star Blvd, Worcester, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kavitha Chand Mamidala |
|---|---|
| Address | 50 Gold Star Blvd, Worcester, Massachusetts |
| Phone Number | 5088569510 |
| Fax Number | 5088531907 |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1447383518 |
|---|---|
| Provider Enumeration Date | 2007-03-14 |
| Last Updated Date | 2022-08-02 |
Provider Mailing Address Detail
| Address | 50 Gold Star Blvd |
|---|---|
| City | Worcester |
| State | Massachusetts (MA) |
| Post Code | 16062812 |
| Phone Number | 5088569510 |
| Fax Number | 5088531907 |
Provider's Primary Taxonomy Detail
| Speciality | Contractor |
|---|---|
| Taxonomy | 171W00000X |
| Licence No | 262061 |
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Definition: A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or m |
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What is the Kavitha Chand Mamidala's unique identification number?
The Kavitha Chand Mamidala has been assigned the NPI (National Provider Identifier) Number 1447383518 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Kavitha Chand Mamidala is located?
The Kavitha Chand Mamidala is situated at the following address: 50 Gold Star Blvd, Worcester, MA, 16062812.
What is Kavitha Chand Mamidala's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kavitha Chand Mamidala's specialized field of practice is Contractor, and the corresponding taxonomy code that categorizes this area of specialization is 171W00000X.
On what date did the Kavitha Chand Mamidala receive its 1447383518 assignment from the Centers for Medicare & Medicaid Services?
The Kavitha Chand Mamidala was assigned its 1447383518 by the Centers for Medicare & Medicaid Services on 2007-03-14.
As of what date were the details related to Kavitha Chand Mamidala most recently updated or revised?
The information pertaining to Kavitha Chand Mamidala, including its address, specialty, and other relevant details, was last updated or revised on 2022-08-02.