Organization
SIMA RAGUTHU MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SIMHACHALAM RAGUTHU M.D (OWNER)
(718) 816-1583
Entity
Organization
Contact information
Practice address
11 RALPH PL, STATEN ISLAND, NY 10304-4401
(718) 816-1583
Mailing address
38 GLENDALE AVE, STATEN ISLAND, NY 10304-4312
(718) 816-1583
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
141323
NY
Other
Enumeration date
10/17/2011
Last updated
10/17/2011
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