Individual
CHANWOO NAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
462 GRIDER STREET, BUFFALO, NY 14215
(607) 247-2200
Mailing address
120 CORPORATE WOODS, SUITE 350, BOX 278911, ROCHESTER, NY 14623
(585) 784-8842
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
334365
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/24/2020
Last updated
08/12/2025
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