National Provider Identifier

Avani Gayathri Kanneganti, MD

Avani Gayathri Kanneganti, MD is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Dunkirk, NY and a listed phone number of (716) 363-6960.

NPI 1235585407Dunkirk, NYInternal Medicine Physician

Profile Overview

NPI
1235585407
Provider Type
Individual
Primary Specialty
Internal Medicine Physician
Enumeration Date
May 06, 2016
Last Updated
October 25, 2019

Practice Location

  • 3898 Vineyard Dr Ste 1
  • Dunkirk, NY 14048-3559

Phone: (716) 363-6960

Specialties

  • Internal Medicine Physician (207R00000X)
Full Record
NPI
1235585407
Entity Type
Individual
Last Name
Kanneganti
First Name
Avani Gayathri
Credential
MD
Mailing Street Address
3898 Vineyard Dr Ste 1
Mailing City
Dunkirk
Mailing State
NY
Mailing ZIP Code
14048-3559
Mailing Country
US
Mailing Phone
(716) 898-4226
Mailing Fax
(716) 898-3279
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
Practice Fax
(716) 203-7386
Enumeration Date
May 06, 2016
Last Updated
October 25, 2019
Deactivation Date
December 30, 2016
Reactivation Date
May 17, 2018
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Internal Medicine Physician (207R00000X)