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Individual

DR. BENAMANAHALLI K RAJEGOWDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
234 E 149TH ST, BRONX, NY 10451-5504
(718) 579-5360
(718) 579-4958
Mailing address
237 S GREENBUSH RD, ORANGEBURG, NY 10962-1324
(718) 579-5360
(718) 579-4958

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
111700-1
NY

Other

Enumeration date
12/12/2006
Last updated
07/08/2007
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