National Provider Identifier
Praveen Kumar Chandrasekharan, MD
Praveen Kumar Chandrasekharan, MD is listed in the NPPES registry with a primary specialty of Pediatrics Physician in Buffalo, NY and a listed phone number of (716) 323-0260.
Profile Overview
- NPI
- 1235497983
- Provider Type
- Individual
- Primary Specialty
- Pediatrics Physician
- Enumeration Date
- May 01, 2012
- Last Updated
- January 18, 2021
Practice Location
- 818 Ellicott St
- Buffalo, NY 14203-1021
Phone: (716) 323-0260
Mailing Address
- 1001 Main St Fl 5
- Buffalo, NY 14203-1009
Specialties
- Pediatrics Physician (208000000X)
Full Record
- NPI
- 1235497983
- Entity Type
- Individual
- Last Name
- Chandrasekharan
- First Name
- Praveen
- Middle Name
- Kumar
- Credential
- MD
- Mailing Street Address
- 1001 Main St Fl 5
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14203-1009
- Mailing Country
- US
- Mailing Phone
- (716) 323-0260
- Mailing Fax
- (716) 323-0294
- Practice Street Address
- 818 Ellicott St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14203-1021
- Practice Country
- US
- Practice Phone
- (716) 323-0260
- Practice Fax
- (716) 323-0294
- Enumeration Date
- May 01, 2012
- Last Updated
- January 18, 2021
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- January 18, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatrics Physician (208000000X)
- Other Identifiers
- 04142852 (NY)