National Provider Identifier

Linda Claire Renganathan

Linda Claire Renganathan is listed in the NPPES registry with a primary specialty of Physician Assistant in Buffalo, NY and a listed phone number of (716) 845-2300.

NPI 1043512973Buffalo, NYPhysician Assistant

Profile Overview

NPI
1043512973
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
November 29, 2010
Last Updated
February 05, 2021

Practice Location

  • Elm And Carlton St
  • Buffalo, NY 14263

Phone: (716) 845-2300

Mailing Address

  • 3624 Market St
  • Suite 560W
  • Philadelphia, PA 19104-2614

Specialties

  • Physician Assistant (363A00000X)
  • Medical Physician Assistant (363AM0700X)
Full Record
NPI
1043512973
Entity Type
Individual
Last Name
Renganathan
First Name
Linda
Middle Name
Claire
Mailing Street Address
3624 Market St
Mailing Address Line 2
Suite 560W
Mailing City
Philadelphia
Mailing State
PA
Mailing ZIP Code
19104-2614
Mailing Country
US
Mailing Phone
(215) 662-3958
Practice Street Address
Elm And Carlton St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14263
Practice Country
US
Practice Phone
(716) 845-2300
Enumeration Date
November 29, 2010
Last Updated
February 05, 2021
Sex
Female
Sole Proprietor
No
Certification Date
February 05, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physician Assistant (363A00000X), Medical Physician Assistant (363AM0700X)
Other Identifiers
019641 (NY, Ny License)