Individual
KIRAN REDDY RAYALAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.P.H
Contact information
Practice address
21 GEISINGER LN, LEWISTOWN, PA 17044
(717) 242-4200
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
267651
NY
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
MD460202
PA
Other
Enumeration date
11/09/2009
Last updated
08/26/2020
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