| Raja Kolisetti | |
|
107 Prospect St Attica NY 14011-1149 | |
| (585) 591-6000 | |
| (585) 591-6962 |
| Full Name | Raja Kolisetti |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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 |