Individual
KESHAV KOORAGAYALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5215 LOUGHBORO RD NW STE 300, WASHINGTON, DC 20016-2626
(443) 997-1508
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-6423
(410) 500-4266
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD600005677
DC
208600000X
Surgery Physician
MT218795
PA
2086S0127X
Trauma Surgery Physician
25MA12204900
NJ
Other
Enumeration date
06/13/2019
Last updated
08/06/2026
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