Ksheersagar, Pankaj Anil

Ksheersagar, Pankaj Anil is an individual health care provider with primary practice located at 119 Belmont St , Worcester MA 01605-2903. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Ksheersagar, Pankaj Anil can be contacted via phone (508) 334-5571.

Contact Information

Primary practice address
119 Belmont St Worcester MA 01605-2903
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5472 Nebraska
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 259238 Massachusetts
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 049463 Connecticut

Profile Details

NPI number 1003030586
LBN Legal business name Ksheersagar, Pankaj Anil
Credentials M.B.B.S.,M.D
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2007
Last updated Oct 26th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003030586 NPPES
Connecticut MEDICAID 008032165

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