Dr. Raghuram Gorti, MD
in Middletown, NY. Individual provider (NPI-1).
NPI number1679554224
StatusActive
Last updated in NPPESNov 27, 2023
Details
- NPI
- 1679554224
- Entity type
- Individual (NPI-1)
- Name
- Dr. Raghuram Gorti
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 10, 2005
- Certification date
- Aug 10, 2020
- Last updated
- Nov 27, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2086S0129X | 218021 | NY | Yes | |
| 208600000X | Surgery | 218021 | NY |
Practice location
707 E Main StMiddletown, NY 10940-2650
Phone 845-333-7575 · Fax 845-333-3641
Mailing address
707 E Main StMiddletown, NY 10940-2650
Phone 845-333-7575 · Fax 845-333-3641
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