Individual
DR. KEITH BALRAM SHANKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3898 VINEYARD DR STE 1, DUNKIRK, NY 14048-3559
(716) 363-6960
Mailing address
PO BOX 488, BUFFALO, NY 14240-0488
(716) 852-4772
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
326975
NY
Other
Enumeration date
04/09/2020
Last updated
12/05/2023
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