National Provider Identifier
Keith Balram Shankar, M.D.
Keith Balram Shankar, M.D. is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Dunkirk, NY and a listed phone number of (716) 363-6960.
Profile Overview
- NPI
- 1225657364
- Provider Type
- Individual
- Primary Specialty
- Family Medicine Physician
- Enumeration Date
- April 09, 2020
- Last Updated
- December 05, 2023
Practice Location
- 3898 Vineyard Dr Ste 1
- Dunkirk, NY 14048-3559
Phone: (716) 363-6960
Mailing Address
- PO Box 488
- Buffalo, NY 14240-0488
Specialties
- Family Medicine Physician (207Q00000X)
Full Record
- NPI
- 1225657364
- Entity Type
- Individual
- Last Name
- Shankar
- First Name
- Keith
- Middle Name
- Balram
- Name Prefix
- Dr.
- Credential
- M.D.
- Mailing Street Address
- PO Box 488
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14240-0488
- Mailing Country
- US
- Mailing Phone
- (716) 852-4772
- Practice Street Address
- 3898 Vineyard Dr Ste 1
- Practice City
- Dunkirk
- Practice State
- NY
- Practice ZIP Code
- 14048-3559
- Practice Country
- US
- Practice Phone
- (716) 363-6960
- Enumeration Date
- April 09, 2020
- Last Updated
- December 05, 2023
- Deactivation Date
- January 10, 2022
- Reactivation Date
- January 25, 2022
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- December 05, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Medicine Physician (207Q00000X)