National Provider Identifier
Manmadharao Kasaraneni, M.D.
Manmadharao Kasaraneni, M.D. is listed in the NPPES registry with a primary specialty of Emergency Medicine Physician in Brockport, NY and a listed phone number of (585) 395-6095.
Profile Overview
- NPI
- 1518050673
- Provider Type
- Individual
- Primary Specialty
- Emergency Medicine Physician
- Enumeration Date
- October 02, 2006
- Last Updated
- July 08, 2007
Practice Location
- 156 West Ave
- Brockport, NY 14420-1229
Phone: (585) 395-6095
Mailing Address
- 23 Talamora Trl
- Brockport, NY 14420-3032
Specialties
- Emergency Medicine Physician (207P00000X)
Full Record
- NPI
- 1518050673
- Entity Type
- Individual
- Last Name
- Kasaraneni
- First Name
- Manmadharao
- Name Prefix
- Dr.
- Credential
- M.D.
- Mailing Street Address
- 23 Talamora Trl
- Mailing City
- Brockport
- Mailing State
- NY
- Mailing ZIP Code
- 14420-3032
- Mailing Country
- US
- Mailing Phone
- (585) 637-3371
- Mailing Fax
- (585) 637-3371
- Practice Street Address
- 156 West Ave
- Practice City
- Brockport
- Practice State
- NY
- Practice ZIP Code
- 14420-1229
- Practice Country
- US
- Practice Phone
- (585) 395-6095
- Practice Fax
- (585) 395-6017
- Enumeration Date
- October 02, 2006
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Emergency Medicine Physician (207P00000X)