KISHANRAO BOGAVELLI

PATERSON, NJ
NPI1538371745
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: NJ  MA44068)
Enumeration Date2007-05-03
Last Update Date2007-07-08
Business Address
-- KISHANRAO BOGAVELLI MD
680 BROADWAY
PATERSON, NJ 07514-1422
Phone number: 973-977-6603
Mailing Address
-- KISHANRAO BOGAVELLI MD
484 TEMPLE HILL RD STE 102
NEW WINDSOR, NY 12553-5557
Phone number: 845-565-3700