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Individual

SRIDHAR R RACHALA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MBBS

Contact information

Practice address
111 N MAPLEMERE RD STE 100, WILLIAMSVILLE, NY 14221-3182
(716) 204-3200
Mailing address
4225 GENESEE ST STE 400, CHEEKTOWAGA, NY 14225-1994
(716) 204-3200

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
104347
MN
207X00000X
Orthopaedic Surgery Physician
Primary
271811
NY
207X00000X
Orthopaedic Surgery Physician
52337
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03249649
NY
05
ENROLLED
MN
Enumeration date
08/05/2009
Last updated
04/10/2026
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