Individual
DR. MANMADHARAO KASARANENI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
156 WEST AVE, BROCKPORT, NY 14420-1229
(585) 395-6095
(585) 395-6017
Mailing address
23 TALAMORA TRL, BROCKPORT, NY 14420-3032
(585) 637-3371
(585) 637-3371
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
144361
NY
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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