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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1053602235

Suma Chandra Kannabiran, MD is a Diagnostic Radiology in Worcester, Massachusetts. Graduated from Georgetown University School of Medicine in 2011, 15 years ago. Practices with Mass General Brigham Community Physicians Inc, a 422-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
15
Trained at
Georgetown University School of Medicine
Licensed in
MA
In the registry since
2011
Specialties on file
2
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 Dept OF Radiology
Worcester, MA 01655
Phone: (508) 334-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 279413 (MA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1053602235
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 22, 2011
Last updated in NPPESMay 26, 2021
Certification dateMay 26, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolGEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice Mass General Brigham Community Physicians Inc — 422 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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