Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080N0001X | Neonatal-Perinatal Doctor | 250346 | NY |
NPI | 1083682298 |
---|---|
Provider Name | Satyanarayana Lakshminrusimha |
First Address | Amherst, NY 14228-2777 |
Second Address | Buffalo, NY 14222-2006 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/03/2006 |
Last Update Date | 16/04/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00020529801 | UNIVERA (01) | |
000525820001 | BC/BS (01) | |
01982365 | (05) | NY |
040426001787 | FIDELIS (01) | |
3610852 | IHA (01) |