Individual
RAMAMURTHY GODISHALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
281 GRANT AVE, AUBURN, NY 13021-1421
(315) 253-4459
(315) 255-2984
Mailing address
281 GRANT AVE, AUBURN, NY 13021-1421
(315) 253-4459
(315) 255-2984
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
161158
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0095926
—
NY
Enumeration date
08/11/2005
Last updated
07/06/2012
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