National Provider Identifier

Kalyan K Shastri, MD

Kalyan K Shastri, MD is listed in the NPPES registry with a primary specialty of Neurology Physician in Buffalo, NY and a listed phone number of (716) 462-4600.

NPI 1275794554Buffalo, NYNeurology Physician

Profile Overview

NPI
1275794554
Provider Type
Individual
Primary Specialty
Neurology Physician
Enumeration Date
June 19, 2008
Last Updated
March 31, 2025

Practice Location

  • 2950 Elmwood Ave
  • Buffalo, NY 14217-1304

Phone: (716) 462-4600

Mailing Address

  • PO Box 4
  • Getzville, NY 14068-0004

Specialties

  • Neurology Physician (2084N0400X)
Full Record
NPI
1275794554
Entity Type
Individual
Last Name
Shastri
First Name
Kalyan
Middle Name
K
Name Prefix
Dr.
Credential
MD
Mailing Street Address
PO Box 4
Mailing City
Getzville
Mailing State
NY
Mailing ZIP Code
14068-0004
Mailing Country
US
Mailing Phone
(972) 408-7326
Mailing Fax
(908) 282-3152
Practice Street Address
2950 Elmwood Ave
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14217-1304
Practice Country
US
Practice Phone
(716) 462-4600
Practice Fax
(716) 462-4645
Enumeration Date
June 19, 2008
Last Updated
March 31, 2025
Sex
Male
Sole Proprietor
Yes
Certification Date
March 31, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Neurology Physician (2084N0400X)
Other Identifiers
03528503 (NY)