Individual
DR. RANGACHAR KESHAVA PRASAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4578 RELIANT RD, JAMESVILLE, NY 13078-6501
(860) 524-9290
Mailing address
4578 RELIANT RD, JAMESVILLE, NY 13078-6501
(860) 524-9290
Taxonomy
Speciality
Code
Description
License number
State
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
Primary
A35978
CA
Other
Enumeration date
09/03/2008
Last updated
03/16/2011
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