Individual
DR. VINOD NIGAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1150 YOUNGS RD, SUITE 111, WILLIAMSVILLE, NY 14221-8053
(716) 688-7622
(716) 688-7592
Mailing address
601 ELMWOOD AVE, PO BOX 648, ROCHESTER, NY 14642-8648
(585) 275-2734
(585) 273-1033
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
206349
NY
2085R0202X
Diagnostic Radiology Physician
Primary
206349
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00040941407
UNIVERA/EXCELLUS #
NY
01
—
000525006020
BLUE CROSS WNY #
NY
05
—
01748190
—
NY
01
—
150590FF
PREFERRED CARE-ROCHESTER
NY
01
—
300137047
RAIL ROAD MEDICARE
NY
01
—
5609957
INDEPENDENT HEALTH #
NY
01
—
CR-DRA206349-3W
WORKERS COMPENSATION #
NY
Enumeration date
07/19/2005
Last updated
08/21/2009
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