Individual
SANJIVINI WADHWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
462 GRIDER ST, BUFFALO, NY 14215-3021
(716) 898-4119
Mailing address
462 GRIDER ST, BUFFALO, NY 14215-3021
(716) 898-4119
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
002497
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00027390201
EXCELLUS UNIVERA
NY
01
—
000528317001
HEALTH NOW
NY
05
—
02724876
—
NY
01
—
3413054
INDEPENDENT HEALTH
NY
Enumeration date
09/26/2006
Last updated
01/04/2008
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