National Provider Identifier
Mark R Podlas, MD
Mark R Podlas, MD is listed in the NPPES registry with a primary specialty of Emergency Medicine Physician in Buffalo, NY and a listed phone number of (716) 204-4500.
Profile Overview
- NPI
- 1437117264
- Provider Type
- Individual
- Primary Specialty
- Emergency Medicine Physician
- Enumeration Date
- May 02, 2006
- Last Updated
- March 12, 2025
Practice Location
- 2157 Main St
- Buffalo, NY 14214-2648
Phone: (716) 204-4500
Mailing Address
- 6653 Main St
- Williamsville, NY 14221-5906
Specialties
- Emergency Medicine Physician (207P00000X)
- Specialist (174400000X)
Full Record
- NPI
- 1437117264
- Entity Type
- Individual
- Last Name
- Podlas
- First Name
- Mark
- Middle Name
- R
- Credential
- MD
- Mailing Street Address
- 6653 Main St
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-5906
- Mailing Country
- US
- Mailing Phone
- (716) 204-4500
- Mailing Fax
- (716) 204-4501
- Practice Street Address
- 2157 Main St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14214-2648
- Practice Country
- US
- Practice Phone
- (716) 204-4500
- Practice Fax
- (716) 204-4501
- Enumeration Date
- May 02, 2006
- Last Updated
- March 12, 2025
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- March 12, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Emergency Medicine Physician (207P00000X), Specialist (174400000X)
- Other Identifiers
- 01223069 (NY)