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Individual

DR. RADHA KRISHNA GARA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
72 STOBE AVE, STATEN ISLAND, NY 10306-2523
(718) 419-4288
(718) 351-4163
Mailing address
72 STOBE AVE, STATEN ISLAND, NY 10306-2523
(718) 419-4288
(718) 351-4163

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
237012-1
NY

Other

Enumeration date
08/01/2012
Last updated
08/01/2012
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