Individual
DR. MAHENDER R GORIGANTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 E GENESEE ST STE 100A, SYRACUSE, NY 13210-1853
(315) 423-4155
(315) 423-4199
Mailing address
1000 E GENESEE ST, SYRACUSE, NY 13210-1853
(315) 423-4155
(315) 423-4199
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
210930
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02283232
—
NY
Enumeration date
11/17/2005
Last updated
11/02/2007
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