Individual
DR. S RAO ARAVAPALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
47 NEW SCOTLAND AVE, DEPT. OF RADIOLOGY, ALBANY, NY 12208-3412
(518) 262-3277
(518) 262-4210
Mailing address
711 TROY SCHENECTADY RD, SUITE 203, LATHAM, NY 12110-2442
(518) 782-3700
(518) 782-3799
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
165398
NY
2085R0202X
Diagnostic Radiology Physician
Primary
165398
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00964067
—
NY
01
—
RB4509
MEDICARE
—
Enumeration date
03/06/2006
Last updated
06/19/2013
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