Individual
PRAVEEN KUMAR CHANDRASEKHARAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
818 ELLICOTT ST, BUFFALO, NY 14203-1021
(716) 323-0260
(716) 323-0294
Mailing address
1001 MAIN ST FL 5, BUFFALO, NY 14203-1009
(716) 323-0260
(716) 323-0294
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
278634-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04142852
—
NY
Enumeration date
05/01/2012
Last updated
01/18/2021
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