Individual
DR. KHALID SALEM KAKISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5851 MAIN ST, BUFFALO, NY 14221-8208
(716) 932-6080
Mailing address
5851 MAIN ST, WILLIAMSVILLE, NY 14221-5799
(716) 932-6080
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
274222
NY
2084N0400X
Neurology Physician
274222
NY
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
274222
NY
Other
Enumeration date
06/01/2011
Last updated
11/09/2016
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