National Provider Identifier
Tity Mae Kpandeyenge, M.D.
Tity Mae Kpandeyenge, M.D. is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Buffalo, NY and a listed phone number of (716) 348-3000.
Profile Overview
- NPI
- 1134506702
- Provider Type
- Individual
- Primary Specialty
- Family Medicine Physician
- Enumeration Date
- May 02, 2015
- Last Updated
- May 31, 2019
Practice Location
- 184 Barton St
- Buffalo, NY 14213
Phone: (716) 348-3000
Mailing Address
- 184 Barton St
- Buffalo, NY 14213-1573
Specialties
- Family Medicine Physician (207Q00000X)
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1134506702
- Entity Type
- Individual
- Last Name
- Kpandeyenge
- First Name
- Tity
- Middle Name
- Mae
- Credential
- M.D.
- Mailing Street Address
- 184 Barton St
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14213-1573
- Mailing Country
- US
- Mailing Phone
- (716) 881-6191
- Mailing Fax
- (716) 881-6247
- Practice Street Address
- 184 Barton St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14213
- Practice Country
- US
- Practice Phone
- (716) 348-3000
- Practice Fax
- (716) 881-6247
- Enumeration Date
- May 02, 2015
- Last Updated
- May 31, 2019
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Medicine Physician (207Q00000X), Student in an Organized Health Care Education/Training Program (390200000X)