National Provider Identifier

Inderjit Bolla, M.D.

Inderjit Bolla, M.D. is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Buffalo, NY and a listed phone number of (716) 816-7258.

NPI 1225384266Buffalo, NYStudent in an Organized Health Care Education/Training Program

Profile Overview

NPI
1225384266
Provider Type
Individual
Primary Specialty
Student in an Organized Health Care Education/Training Program
Enumeration Date
July 27, 2012
Last Updated
July 27, 2012

Practice Location

  • 77 Goodell St
  • 2Nd Floor
  • Buffalo, NY 14203-1243

Phone: (716) 816-7258

Specialties

  • Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
NPI
1225384266
Entity Type
Individual
Last Name
Bolla
First Name
Inderjit
Credential
M.D.
Mailing Street Address
77 Goodell St
Mailing Address Line 2
2Nd Floor
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14203-1243
Mailing Country
US
Mailing Phone
(816) 682-3708
Practice Street Address
77 Goodell St
Practice Address Line 2
2Nd Floor
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14203-1243
Practice Country
US
Practice Phone
(716) 816-7258
Enumeration Date
July 27, 2012
Last Updated
July 27, 2012
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Student in an Organized Health Care Education/Training Program (390200000X)