National Provider Identifier
Raja Kolisetti, MD
Raja Kolisetti, MD is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Batavia, NY and a listed phone number of (585) 703-0101.
Profile Overview
- NPI
- 1861460214
- Provider Type
- Individual
- Primary Specialty
- Family Medicine Physician
- Enumeration Date
- March 10, 2006
- Last Updated
- June 04, 2024
Practice Location
- 2 W Main St Unit 333
- Batavia, NY 14021-7013
Phone: (585) 703-0101
Mailing Address
- PO Box 333
- Batavia, NY 14021-0333
Specialties
- Family Medicine Physician (207Q00000X)
- Family Medicine Physician (207Q00000X)
Full Record
- NPI
- 1861460214
- Entity Type
- Individual
- Last Name
- Kolisetti
- First Name
- Raja
- Credential
- MD
- Mailing Street Address
- PO Box 333
- Mailing City
- Batavia
- Mailing State
- NY
- Mailing ZIP Code
- 14021-0333
- Mailing Country
- US
- Mailing Phone
- (585) 703-0101
- Practice Street Address
- 2 W Main St Unit 333
- Practice City
- Batavia
- Practice State
- NY
- Practice ZIP Code
- 14021-7013
- Practice Country
- US
- Practice Phone
- (585) 703-0101
- Enumeration Date
- March 10, 2006
- Last Updated
- June 04, 2024
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- June 04, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Medicine Physician (207Q00000X), Family Medicine Physician (207Q00000X)
- Other Identifiers
- 0160325 (NY)