Kolisetti, Raja
Kolisetti, Raja is an sole proprietor health care provider with primary practice located at 2 W Main St Unit 333 , Batavia NY 14021-7013. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kolisetti, Raja can be contacted via phone (585) 703-0101.Contact Information
Primary practice address
2 W Main St Unit 333
Batavia NY 14021-7013
Phone: (585) 703-0101
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | U4548 | Texas |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 185959 | New York |
Profile Details
| NPI number | 1861460214 |
|---|---|
| LBN Legal business name | Kolisetti, Raja |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 10th, 2006 |
| Last updated | Jun 4th, 2024 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861460214 | NPPES |
| New York | MEDICAID | 0160325 |
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