Dr. Julia K. Ellis-Kahana, MD
Student in an Organized Health Care Education/Training Program in Worcester, MA. Individual provider (NPI-1).
NPI number1194353979
StatusActive
Last updated in NPPESMar 29, 2020
Details
- NPI
- 1194353979
- Entity type
- Individual (NPI-1)
- Name
- Dr. Julia K. Ellis-Kahana
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 29, 2020
- Certification date
- Mar 29, 2020
- Last updated
- Mar 29, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
55 Lake Ave NWorcester, MA 01655-0002
Phone 508-334-1131
Mailing address
55 Lake Ave NWorcester, MA 01655-0002
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