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Individual

DR. ASHOK NIGAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1150 YOUNGS RD, SUITE 111, WILLIAMSVILLE, NY 14221-8053
(716) 688-7622
(716) 688-7592
Mailing address
1150 YOUNGS RD, SUITE 111, WILLIAMSVILLE, NY 14221-8053
(716) 688-7622
(716) 688-7592

Taxonomy

Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
128699
NY
2085R0202X
Diagnostic Radiology Physician
Primary
128699
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00025194001
UNIVERA/EXCELLUS #
NY
01
000525007015
BLUE CROSS WNY #
NM
05
01728463
NY
01
150591FF
PREFERRED CARE-ROCHESTER
NY
01
3000118786
RAILROAD MEDICARE #
NY
01
5609601
INDEPENDENT HEALTH #
NY
01
CR-128699-6W
WORKERS COMPENSATION #
NY
Enumeration date
07/19/2005
Last updated
03/08/2013
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