National Provider Identifier

Amulya Penmetsa, M.D.

Amulya Penmetsa, M.D. is listed in the NPPES registry with a primary specialty of Gastroenterology Physician in Rochester, NY and a listed phone number of (585) 275-4711.

NPI 1104270115Rochester, NYGastroenterology Physician

Profile Overview

NPI
1104270115
Provider Type
Individual
Primary Specialty
Gastroenterology Physician
Enumeration Date
April 15, 2016
Last Updated
June 20, 2023

Practice Location

  • 601 Elmwood Ave
  • Rochester, NY 14642-0001

Phone: (585) 275-4711

Mailing Address

  • 601 Elmwood Avenue Box Med
  • Rochester, NY 14642-0001

Specialties

  • Gastroenterology Physician (207RG0100X)
Full Record
NPI
1104270115
Entity Type
Individual
Last Name
Penmetsa
First Name
Amulya
Name Prefix
Dr.
Credential
M.D.
Mailing Street Address
601 Elmwood Avenue Box Med
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14642-0001
Mailing Country
US
Mailing Phone
(585) 275-4711
Practice Street Address
601 Elmwood Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14642-0001
Practice Country
US
Practice Phone
(585) 275-4711
Enumeration Date
April 15, 2016
Last Updated
June 20, 2023
Sex
Female
Sole Proprietor
Yes
Certification Date
June 20, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Gastroenterology Physician (207RG0100X)