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Individual

DR. RAGHAV RAM MATTAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
130 E 77TH ST, NEW YORK, NY 10075-1851
(212) 434-3900
Mailing address
130 E 77TH ST, NEW YORK, NY 10075-1851

Taxonomy

Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
328643
NY
2085R0202X
Diagnostic Radiology Physician
A175745
CA

Other

Enumeration date
05/27/2016
Last updated
04/02/2026
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