Individual
PRAJESH GONGAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 650-7515
Mailing address
601 ELMWOOD AVENUE, BOX679-A, ROCHESTER, NY 14642
(585) 275-4290
(585) 473-1573
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
33137
NH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2021
Last updated
08/07/2025
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