Individual
BELLAMKONDA S RAGHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4985 HARLEM ROAD, AMHERST, NY 14226
(716) 839-0500
(716) 839-0523
Mailing address
4985 HARLEM ROAD, AMHERST, NY 14226
(716) 839-0500
(716) 839-0523
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
194173
NY
2084P0800X
Psychiatry Physician
Primary
MD194173
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01843232
—
NY
Enumeration date
05/17/2006
Last updated
12/22/2011
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