Individual
SATYANARAYANA LAKSHMINRUSIMHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
219 BRYANT ST, BUFFALO, NY 14222-2006
(716) 878-7673
Mailing address
1400 SWEET HOME RD, SUITE 5, AMHERST, NY 14228-2777
(716) 932-6064
(716) 932-6076
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
250346
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00020529801
UNIVERA
—
01
—
000525820001
BC/BS
—
05
—
01982365
—
NY
01
—
040426001787
FIDELIS
—
01
—
3610852
IHA
—
Enumeration date
03/14/2006
Last updated
04/16/2014
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