| 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 |