Individual
DR. RAJ K GULATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 IVY ST, SUITE 201, ELMIRA, NY 14905-1627
(607) 737-7780
(607) 737-7788
Mailing address
571 SAINT JOSEPHS BLVD FL 2, ELMIRA, NY 14901-3230
(607) 271-2050
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
186702
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01604815
—
NY
05
—
101489884
—
PA
Enumeration date
11/22/2006
Last updated
06/10/2016
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