Individual
ANSHU BAIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
430 S PARK AVE, BUFFALO, NY 14204-2618
(716) 847-6610
(716) 854-3052
Mailing address
430 S PARK AVE, BUFFALO, NY 14204-2618
(716) 847-6610
(716) 854-3052
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
261454
NY
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
261454
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00027324401
UNIVERA
NY
01
—
000528279001
BLUE CROSS
NY
05
—
02686395
—
NY
01
—
0412972
INDEPENDENT HEALTH
NY
01
—
051105000027
FIDELIS
NY
01
—
161070314
NOVA
NY
Enumeration date
08/29/2006
Last updated
05/19/2016
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