Individual
SANKARSH NIHAL JETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-2119
(585) 275-2734
Mailing address
9095 MICHAEL DOUGLAS DR, CLARENCE CENTER, NY 14032-9277
(716) 908-1246
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
331018
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2018
Last updated
06/04/2025
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