Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alyssa Blane Kalustian, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1578191318

Alyssa Blane Kalustian, MD is a Student in an Organized Health Care Education/Training Program in Worcester, Massachusetts. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

55 Lake Ave N
Worcester, MA 01655-0002
Phone: (508) 334-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1578191318
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 28, 2020
Last updated in NPPESAugust 3, 2020
Certification dateAugust 3, 2020

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