Individual
ASHER RAJA GORANTLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
SUNY DOWNSTATE MEDICAL CENTER, 650 CLARKSON AVENUE, BROOKLYN, NY 11203-2012
(718) 210-1566
Mailing address
PO BOX 50, SUNY DOWNSTATE MEDICAL CENTER, 650 CLARKSON AVENUE, BROOKLYN, NY 11203-2012
(718) 210-1566
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/02/2020
Last updated
08/04/2020
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