Organization
SADASHIV S.SHENOY M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SADASHIV S. SHENOY M.D. (OWNER)
(716) 631-8736
Entity
Organization
Contact information
Practice address
2949 ELMWOOD AVE, KENMORE, NY 14217-1356
(716) 876-4033
Mailing address
4488 E OVERLOOK DR, WILLIAMSVILLE, NY 14221-6310
(716) 631-6736
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
121816-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00664695
—
NY
Enumeration date
05/18/2006
Last updated
07/24/2008
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