Individual
RAJASEKHAR SRINIVASA RAMA MALYALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-5900
(585) 275-2525
Mailing address
601 ELMWOOD AVE BOX SURG, ROCHESTER, NY 14642-0001
(585) 275-2525
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
242607
NY
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
50804
KY
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
P9091
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50804
KENTUCKY BOARD OF MEDICAL LICENSURE
KY
Enumeration date
07/03/2006
Last updated
01/15/2025
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