Individual
DR. KISHOR V PHADKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
705 MAPLE RD STE 300, WILLIAMSVILLE, NY 14221-3291
(716) 710-8266
(716) 710-8267
Mailing address
726 EXCHANGE ST, SUITE 516, BUFFALO, NY 14210-1484
(716) 852-4772
(716) 842-3190
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
197824
NY
207RI0011X
Interventional Cardiology Physician
197824
NY
Other
Enumeration date
07/28/2006
Last updated
10/14/2020
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