Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0002X | Hospice and Palliative Medicine | 258459 | NY |
Y | 207RH0003X | Hematology & Oncology | 258459 | NY |
NPI | 1144484809 |
---|---|
Provider Name | Bhuvana G Ramkumar |
First Address | Williamsville, NY 14221-5269 |
Second Address | Niagara Falls, NY 14304 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2008 |
Last Update Date | 07/08/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
03015285 | (05) | NY |
J400470318 | MEDICARE (01) | NY |