Individual
DR. KEDARNATH JAVALY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2914 ELMWOOD AVE, SUITE 2, KENMORE, NY 14217-1332
(716) 447-6903
Mailing address
31 BEECH RD, AMHERST, NY 14226-2330
(917) 612-6413
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
164017-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01844866
—
NY
01
—
P00442452
RAILROAD MEDICARE
NY
Enumeration date
05/03/2006
Last updated
02/15/2008
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