Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0505X | Family Doctor - Adult Medicine | 137646 | NY |
NPI | 1306923347 |
---|---|
Provider Name | Dr. Kailash Prasad Saxena |
First Address | Amherst, NY 14228-3703 |
Second Address | Amherst, NY 14228-3703 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2006 |
Last Update Date | 08/07/2007 |