| Hospitalist Physician P.c | |
|
813 Fay Rd Syracuse NY 13219-3009 | |
| (315) 488-2951 | |
| Not Available |
| Full Name | Hospitalist Physician P.c |
|---|---|
| Speciality | Hospitalist |
| Location | 813 Fay Rd, Syracuse, New York |
| Authorized Official Name and Position | Ravi Kumar Reddy Gangireddy (OWNER) |
| Authorized Official Contact | 3152281162 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hospitalist Physician P.c 103 Brandywine Dr Manlius NY 13104-7953 Ph: (315) 228-1162 | Hospitalist Physician P.c 813 Fay Rd Syracuse NY 13219-3009 Ph: (315) 488-2951 |
| NPI Number | 1922921196 |
|---|---|
| Provider Enumeration Date | 08/03/2026 |
| Last Update Date | 08/03/2026 |
| Certification Date | 08/03/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922921196 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (NU) | Secondary |
| 208M00000X | Hospitalist | (NU) | Primary |
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