Goriganti, Mahender R
Goriganti, Mahender R is an sole proprietor health care provider with primary practice located at 1000 E Genesee St Ste 100A , Syracuse NY 13210-1853. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Goriganti, Mahender R can be contacted via phone (315) 423-4155.Contact Information
Primary practice address
1000 E Genesee St Ste 100A
Syracuse NY 13210-1853
Phone: (315) 423-4155
Fax: (315) 423-4199
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 210930 | New York |
Profile Details
NPI number | 1144202805 |
---|---|
LBN Legal business name | Goriganti, Mahender R |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 17th, 2005 |
Last updated | Nov 2nd, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1144202805 | NPPES |
New York | MEDICAID | 02283232 |
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