Healthcare Provider Details

I. General information

NPI: 1235894809
Provider Name (Legal Business Name): DIAGNOSIS NETWORK INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/08/2021
Last Update Date: 11/08/2021
Certification Date: 10/15/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

121 LINCOLN ST
WORCESTER MA
01605-2429
US

IV. Provider business mailing address

10 VINNIE WAY
SHREWSBURY MA
01545-4225
US

V. Phone/Fax

Practice location:
  • Phone: 508-335-7163
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085U0001X
TaxonomyDiagnostic Ultrasound Physician
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: SHAHIDA NAZ BALAPARYA
Title or Position: PRESIDENT
Credential:
Phone: 508-335-7164