Individual
MANDIP PANESAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
462 GRIDER ST, BUFFALO, NY 14215-3021
(716) 898-4803
Mailing address
462 GRIDER ST, BUFFALO, NY 14215-3021
(716) 898-4803
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
002575
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00027630201
EXCELLUS UNIVERA
NY
01
—
000528535001
HEALTH NOW
NY
05
—
02760676
—
NY
01
—
2513217
INDEPENDENT HEALTH
NY
Enumeration date
05/09/2006
Last updated
11/23/2011
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