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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 19 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144202805 NPPES
New York MEDICAID 02283232

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