Dr RAJA KOLISETTI MD is a male medical professional, specializing in Family Medicine. He graduated in 1982.
107 PROSPECT ST
ATTICA
NY
140111149
Tel:
| Npi | 1861460214 |
| Pac Id | 6709860737 |
| Professional Enrollment Id | I20040623000297 |
| Last Name | KOLISETTI |
| First Name | RAJA |
| Middle Name | |
| Suffix | |
| Gender | M |
| Credential | MD |
| Medical School Name | OTHER |
| Graduation Year | 1982 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialty 1 | GERIATRIC MEDICINE |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | GERIATRIC MEDICINE |
| Organization Legal Name | |
| Group Practice Pac Id | |
| Number Of Group Practice Members | |
| Line 1 Street Address | 107 PROSPECT ST |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | ATTICA |
| State | NY |
| Zip Code | 140111149 |
| Phone Number | |
| Hospital Affiliation Ccn 1 | 330073 |
| Hospital Affiliation Lbn 1 | UNITED MEMORIAL MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | |
| Hospital Affiliation Lbn 2 | |
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| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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