Individual
DR. THAYAPARAN MATHANAKARAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
2626 W STATE ST, SUITE 202, OLEAN, NY 14760-1858
(716) 806-1137
(716) 379-8472
Mailing address
535 MAIN ST, OLEAN, NY 14760-1500
(716) 806-1137
(716) 379-8472
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
251105
NY
207QA0505X
Adult Medicine Physician
Primary
251105
NY
Other
Enumeration date
06/06/2006
Last updated
03/01/2022
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