National Provider Identifier
Avtar S Samra, M.D.
Avtar S Samra, M.D. is listed in the NPPES registry with a primary specialty of Pediatrics Physician in Tonawanda, NY and a listed phone number of (716) 447-6450.
Source: public NPPES record, last updated July 08, 2007. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1427078138
- Provider Type
- Individual
- Primary Specialty
- Pediatrics Physician
- Enumeration Date
- July 19, 2006
- Last Updated
- July 08, 2007
Practice Location
- 300 Two Mile Creek RD
- Tonawanda, NY 14150-6618
Phone: (716) 447-6450
Specialties
- Pediatrics Physician (208000000X)
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Biography
Dr. Avtar S. Samra is a Tonawanda, New York pediatrician with long-standing ties to Western New York care, including practice at Ken-Ton FamilyCare Center and affiliation with Sisters of Charity Hospital. He earned his medical degree from Anugrah Narain Magadh Medical College and completed a pediatrics residency at Brookdale University Hospital and Medical Center.
Full Record
- NPI
- 1427078138
- Entity Type
- Individual
- Last Name
- Samra
- First Name
- Avtar
- Middle Name
- S
- Credential
- M.D.
- Mailing Street Address
- 300 Two Mile Creek RD
- Mailing City
- Tonawanda
- Mailing State
- NY
- Mailing ZIP Code
- 14150-6618
- Mailing Country
- US
- Mailing Phone
- (716) 447-6450
- Mailing Fax
- (716) 447-6486
- Practice Street Address
- 300 Two Mile Creek RD
- Practice City
- Tonawanda
- Practice State
- NY
- Practice ZIP Code
- 14150-6618
- Practice Country
- US
- Practice Phone
- (716) 447-6450
- Practice Fax
- (716) 447-6486
- Enumeration Date
- July 19, 2006
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatrics Physician (208000000X)
- Other Identifiers
- 000523654001 (NY, Blue Cross Of Wny), 00010156101 (NY, Univera Healthcare), 040426000412 (NY, Fidelis), 1207083 (NY, Independent Health)