Raja Kolisetti | |
107 Prospect St Attica NY 14011-1149 | |
(585) 591-6000 | |
(585) 591-6962 |
Full Name | Raja Kolisetti |
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Speciality | Family Medicine |
Location | 107 Prospect St, Attica, New York |
Authorized Official Name and Position | Raja Kolisetti (PHYSICIAN) |
Authorized Official Contact | 5855916000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Raja Kolisetti Po Box 333 Batavia NY 14021-0333 Ph: (585) 591-6000 | Raja Kolisetti 107 Prospect St Attica NY 14011-1149 Ph: (585) 591-6000 |
NPI Number | 1740586536 |
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Provider Enumeration Date | 01/27/2011 |
Last Update Date | 01/27/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740586536 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 185959 (New York) | Primary |