Individual
DR. RAGHURAM GORTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
707 E MAIN ST, MIDDLETOWN, NY 10940-2650
(845) 333-7575
(845) 333-3641
Mailing address
707 E MAIN ST, MIDDLETOWN, NY 10940-2650
(845) 333-7575
(845) 333-3641
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
218021
NY
2086S0129X
Vascular Surgery Physician
Primary
218021
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02362352
—
NY
Enumeration date
11/10/2005
Last updated
11/27/2023
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