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Individual

MOHAN ROY SARABU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1 COLUMBIA ST, SUITE 300, POUGHKEEPSIE, NY 12601-3923
(845) 483-0100
(845) 483-0200
Mailing address
1 COLUMBIA ST, UITE 300, POUGHKEEPSIE, NY 12601-3923
(845) 483-0100
(845) 483-0200

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
142851
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00710352
NY
Enumeration date
06/07/2006
Last updated
07/20/2009
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