| Sima Raguthu Md Pllc | |
|
11 Ralph Pl Staten Island NY 10304-4401 | |
| (718) 816-1583 | |
| Not Available |
| Full Name | Sima Raguthu Md Pllc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 11 Ralph Pl, Staten Island, New York |
| Authorized Official Name and Position | Simhachalam Raguthu (OWNER) |
| Authorized Official Contact | 7188161583 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sima Raguthu Md Pllc 38 Glendale Ave Staten Island NY 10304-4312 Ph: (718) 816-1583 | Sima Raguthu Md Pllc 11 Ralph Pl Staten Island NY 10304-4401 Ph: (718) 816-1583 |
| NPI Number | 1275818668 |
|---|---|
| Provider Enumeration Date | 10/17/2011 |
| Last Update Date | 10/17/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275818668 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 141323 (New York) | Primary |
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