Individual
DR. CHANDRASHAKER R GONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
53 ELIZABETH DR, LOCKPORT, NY 14094
(716) 434-6093
(716) 434-2887
Mailing address
53 ELIZABETH DR, LOCKPORT, NY 14094
(716) 434-6093
(716) 434-2887
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
127754
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00620631
—
NY
Enumeration date
08/01/2006
Last updated
07/08/2007
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