Individual
DR. PRABHAKARA SOMAYAJI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
549 4TH ST STE 1, NIAGARA FALLS, NY 14301-1530
(716) 285-0853
(716) 284-2034
Mailing address
549 4TH ST STE 1, NIAGARA FALLS, NY 14301-1530
(716) 285-0853
(716) 284-2034
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
142353-1
NY
208800000X
Urology Physician
Primary
142353
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010170301
UNIVERA
NY
01
—
000508061001
BLUE CROSS WNY
NY
01
—
0032916
GHI
NY
05
—
00624828
—
NY
01
—
040426003520
FIDELAS
NY
01
—
1901029
INDEPENDENT HEALTH
NY
Enumeration date
10/12/2006
Last updated
08/15/2022
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