National Provider Identifier

Prayoon Prabharasuth, MD

Prayoon Prabharasuth, MD is listed in the NPPES registry with a primary specialty of Obstetrics & Gynecology Physician in Newfane, NY and a listed phone number of (716) 778-7118.

NPI 1174508469Newfane, NYObstetrics & Gynecology Physician

Profile Overview

NPI
1174508469
Provider Type
Individual
Primary Specialty
Obstetrics & Gynecology Physician
Enumeration Date
December 09, 2005
Last Updated
May 18, 2010

Practice Location

  • 2594 William St
  • Newfane, NY 14108-1026

Phone: (716) 778-7118

Specialties

  • Obstetrics & Gynecology Physician (207V00000X)
Full Record
NPI
1174508469
Entity Type
Individual
Last Name
Prabharasuth
First Name
Prayoon
Name Prefix
Dr.
Credential
MD
Mailing Street Address
2594 William St
Mailing City
Newfane
Mailing State
NY
Mailing ZIP Code
14108-1026
Mailing Country
US
Mailing Phone
(716) 778-7118
Mailing Fax
(716) 778-7119
Practice Street Address
2594 William St
Practice City
Newfane
Practice State
NY
Practice ZIP Code
14108-1026
Practice Country
US
Practice Phone
(716) 778-7118
Practice Fax
(716) 778-7119
Enumeration Date
December 09, 2005
Last Updated
May 18, 2010
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Obstetrics & Gynecology Physician (207V00000X)
Other Identifiers
0028508 (Ghi), 10200140 (Fidelis), 00615027 (NY), 80121005055741 (Bsbc General Motors), 0004301613 (Aetna), 000505574001 (NY, BCBS Of Wny), 00020503901 (Univera Healthcare), 0701266 (Independent Health Associ), 161068845001 (Tricare)