Organization
KALYAN K. SHASTRI M.D. PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KALYAN K SHASTRI MD (OWNER)
(716) 462-4600
Entity
Organization
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
(716) 462-4600
(716) 462-4645
Taxonomy
Speciality
Code
Description
License number
State
2084D0003X
Diagnostic Neuroimaging (Psychiatry & Neurology) Physician
—
—
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
08/24/2021
Last updated
03/31/2025
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