Individual
DR. GAURAV JERRIPOTULA RAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 COMMUNITY DR, MANHASSET, NY 11030-3816
(845) 282-1430
Mailing address
300 COMMUNITY DR, MANHASSET, NY 11030-3816
(845) 282-1430
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
283789
NY
Other
Enumeration date
03/28/2013
Last updated
06/22/2020
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