Individual
MAITHRIDEVI RASALINGAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
725 ORCHARD PARK RD, SUITE D, WEST SENECA, NY 14224-3352
(716) 677-0038
(716) 677-4206
Mailing address
725 ORCHARD PARK RD, SUITE D, WEST SENECA, NY 14224-3352
(716) 677-0038
(716) 677-4206
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
128730
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010144501
UNIVERA
NY
01
—
000508154003
BLUES
NY
05
—
00677601
—
NY
01
—
0400969
IHA
NY
Enumeration date
11/30/2006
Last updated
09/06/2011
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