Individual
RAHUL MAHAPATRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
725 IRVING AVE STE 314, SYRACUSE, NY 13210-1685
(315) 464-9360
(315) 464-9361
Mailing address
725 IRVING AVE STE 311, SYRACUSE, NY 13210-1685
(315) 464-9360
(315) 464-9361
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
278638
NY
Other
Enumeration date
06/06/2012
Last updated
11/09/2021
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