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.

NPI 1427078138Tonawanda, NYPediatrics Physician

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
Taxonomies
Pediatrics Physician (208000000X)
Other Identifiers
000523654001 (NY, Blue Cross Of Wny), 00010156101 (NY, Univera Healthcare), 040426000412 (NY, Fidelis), 1207083 (NY, Independent Health)