Individual
DR. KALYAN K SHASTRI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2950 ELMWOOD AVE, BUFFALO, NY 14217-1304
(716) 462-4600
(716) 462-4645
Mailing address
PO BOX 4, GETZVILLE, NY 14068-0004
(972) 408-7326
(908) 282-3152
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
60 267346
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03528503
—
NY
Enumeration date
06/19/2008
Last updated
03/31/2025
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