Raja Kolisetti (NPI# 1861460214, PAC ID# 6709860737) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1861460214 |
| PAC ID by PECOS | 6709860737 |
| Professional Enrollment ID | I20040623000297 |
| Full Name | Raja Kolisetti |
| Address |
107 Prospect St Attica NY 14011-1149 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1982 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | GERIATRIC MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330073 | UNITED MEMORIAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 12845 Broadway St, Alden, NY 14004-1223 | 7169373255 | ALDEN MEDICAL GROUP PLLC |
| 107 Prospect St, Attica, NY 14011-1149 |
| Street Address |
107 PROSPECT ST |
| City | ATTICA |
| State | NY |
| Zip | 14011-1149 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nitin Arora | Family Medicine | United Memorial Medical Center | 107 Prospect St, Attica, NY 14011-1149 |
| Carol D Batra | Nurse Practitioner | United Memorial Medical Center | 107 Prospect St, Attica, NY 14011-1149 |
| Ned C Jordan | Physician Assistant | Attica Family Medicine Pllc | 107 Prospect St, Attica, NY 14011-1149 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daryle N Luplow | Chiropractic | 14 Main St, Attica, NY 14011-1009 | |
| Michelle L Bauer | Physical Therapy | Step By Step Physical Therapy PC | 120 Prospect St, Attica, NY 14011-1128 |
| City | ATTICA |
| Zip Code | 14011 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | ATTICA + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Raja Kolisetti.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.