M R Goriganti Physician Pllc

LBN: M R Goriganti Physician Pllc
M R Goriganti Physician Pllc is an health care organization with primary practice located at 1000 E Genesee St Ste 100A , Syracuse NY 13210-1853. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Neuromuscular Medicine, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is the primary health care specialty. M R Goriganti Physician Pllc can be contacted via phone (315) 423-4155, or through Goriganti, Mahender Rao 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
Authorized official contact:
Name: Goriganti, Mahender Rao Doctor of Medicine (MD)
Phone: (315) 423-4155

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 210930 New York
Allopathic & Osteopathic Physicians / Neuromuscular Medicine 2081N0008X 210930 New York
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X 210930 New York

Profile Details

NPI number 1508049032
LBN Legal business name M R Goriganti Physician Pllc
DBA Doing business as
Authorized official Goriganti, Mahender Rao Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 6th, 2007
Last updated Apr 20th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508049032 NPPES
New York MEDICAID 02283232
New York Other 1144202805

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