Individual
DR. BHAVANSA PADMANABHA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3407 DELAWARE AVE, KENMORE, NY 14217-1421
(716) 876-6170
(716) 876-6170
Mailing address
3407 DELAWARE AVE, KENMORE, NY 14217-1421
(716) 876-6170
(716) 876-6170
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
109999
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000503393001
BLCROSS
—
01
—
1704020
IHA
—
Enumeration date
02/16/2006
Last updated
07/08/2007
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