Individual
DR. JAI G WADHWANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6460 MAIN ST, WILLIAMSVILLE, NY 14221-5838
(716) 634-5100
(716) 634-5134
Mailing address
6460 MAIN ST, WILLIAMSVILLE, NY 14221-5838
(716) 634-5100
(716) 634-5134
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
194482
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010185201
UNIVERA
NY
01
—
005233430005
BLUE CROSS/BLUE SHIELD
NY
05
—
01667014
—
NY
01
—
2108112
INDEPENDENT HEALTH
NY
Enumeration date
06/25/2006
Last updated
03/15/2019
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