Individual
RENGASAMY RAJENDRAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2950 ELMWOOD AVE, KENMORE MERCY HOSPITAL, KENMORE, NY 14217
(716) 447-6100
Mailing address
2333 ELMWOOD AVE, STE 2, KENMORE, NY 14217-0710
(716) 874-1098
(716) 874-9616
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
1941031
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00011177002
UNIVERA
NY
01
—
000523954001
BLUE CROSS
NY
05
—
01843223
—
NY
01
—
2008061
INDEPENDENT HEALTH
—
Enumeration date
04/25/2006
Last updated
07/08/2007
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