Individual
MAMANDUR RAGHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
560 BAY RIDGE PKWY, BROOKLYN, NY 11209-3310
(718) 748-7831
Mailing address
PO BOX 270, MASSAPEQUA PARK, NY 11762-0270
(631) 264-2035
(631) 264-1418
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
153512
NY
Other
Enumeration date
06/27/2006
Last updated
10/05/2010
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