National Provider Identifier
Shannon Poupalos, M.D.
Shannon Poupalos, M.D. is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Williamsville, NY and a listed phone number of (716) 630-1480.
Profile Overview
- NPI
- 1427317957
- Provider Type
- Individual
- Primary Specialty
- Internal Medicine Physician
- Enumeration Date
- May 03, 2012
- Last Updated
- December 07, 2021
Practice Location
- 325 Essjay RD
- Williamsville, NY 14221-8243
Phone: (716) 630-1480
Mailing Address
- 425 Essjay RD Ste 170
- Williamsville, NY 14221-8235
Specialties
- Internal Medicine Physician (207R00000X)
Endpoints
- production@direct.buffalomedicalgroup.com
Direct Messaging Address | Williamsville, NY 14221
Full Record
- NPI
- 1427317957
- Entity Type
- Individual
- Last Name
- Poupalos
- First Name
- Shannon
- Name Prefix
- Dr.
- Credential
- M.D.
- Provider Other Last Name
- O'Brien
- Provider Other First Name
- Shannon
- Provider Other Name Prefix Text
- Dr.
- Provider Other Credential Text
- M.D.
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 425 Essjay RD Ste 170
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-8235
- Mailing Country
- US
- Mailing Phone
- (716) 630-1219
- Mailing Fax
- (716) 817-1726
- Practice Street Address
- 325 Essjay RD
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-8243
- Practice Country
- US
- Practice Phone
- (716) 630-1480
- Practice Fax
- (716) 582-2301
- Enumeration Date
- May 03, 2012
- Last Updated
- December 07, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- December 07, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Internal Medicine Physician (207R00000X)