Individual
DR. PEARAY L OGRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
219 BRYANT ST, INFECTIOUS DISEASE DIVISION, BUFFALO, NY 14222-2006
(716) 878-7312
(716) 888-3804
Mailing address
4511 HARLEM RD, SUITE 202, AMHERST, NY 14226-3822
(716) 839-6720
(716) 839-6740
Taxonomy
Speciality
Code
Description
License number
State
2080P0208X
Pediatric Infectious Diseases Physician
Primary
107378
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00020520801
UNIVERA
NY
01
—
000505196002
BC/BS
NY
01
—
0010974925001
PAMEDICAID
NY
05
—
00612524
—
NY
01
—
1290558
IHA
NY
Enumeration date
09/22/2006
Last updated
09/25/2008
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