Individual
DR. ANIL KUMAR GOGINENI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1276 FULTON AVE, BRONX, NY 10456-3402
(718) 466-3255
Mailing address
17 EDGEMONT CIR, SCARSDALE, NY 10583-2615
(347) 322-8198
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
270669
NY
Other
Enumeration date
07/25/2008
Last updated
10/16/2017
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