Gorti, Raghuram

Gorti, Raghuram is an individual health care provider with primary practice located at 707 E Main St , Middletown NY 10940-2650. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Gorti, Raghuram can be contacted via phone (845) 333-7575.

Contact Information

Primary practice address
707 E Main St Middletown NY 10940-2650
Phone: (845) 333-7575
Fax: (845) 333-3641
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 218021 New York
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 218021 New York

Profile Details

NPI number 1679554224
LBN Legal business name Gorti, Raghuram
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2005
Last updated Nov 27th, 2023 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679554224 NPPES
New York MEDICAID 02362352

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