Individual
ADITYA VARAMBALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
16 BANK ST, BATAVIA, NY 14020-2250
(585) 344-4800
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
324159
NY
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
324159
NY
Other
Enumeration date
04/09/2020
Last updated
07/02/2024
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