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Individual

SIVA KRISH

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
565 ABBOTT RD, BUFFALO, NY 14220
(716) 826-6628
(716) 828-3448
Mailing address
515 ABBOTT RD, STE 410, BUFFALO, NY 14220
(716) 826-6628
(716) 828-3448

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
1696711
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01502432
NY
Enumeration date
02/09/2006
Last updated
07/08/2007
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