National Provider Identifier
Mohan Madhusudanan, M.D.
Mohan Madhusudanan, M.D. is listed in the NPPES registry with a primary specialty of Specialist in Buffalo, NY and a listed phone number of (716) 835-2966.
Profile Overview
- NPI
- 1548308463
- Provider Type
- Individual
- Primary Specialty
- Specialist
- Enumeration Date
- February 02, 2007
- Last Updated
- November 23, 2010
Practice Location
- 3435 Bailey Ave
- Buffalo, NY 14215-1145
Phone: (716) 835-2966
Specialties
- Specialist (174400000X)
- Internal Medicine Physician (207R00000X)
Full Record
- NPI
- 1548308463
- Entity Type
- Individual
- Last Name
- Madhusudanan
- First Name
- Mohan
- Credential
- M.D.
- Mailing Street Address
- 3435 Bailey Ave
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14215-1145
- Mailing Country
- US
- Mailing Phone
- (716) 835-2966
- Practice Street Address
- 3435 Bailey Ave
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14215-1145
- Practice Country
- US
- Practice Phone
- (716) 835-2966
- Enumeration Date
- February 02, 2007
- Last Updated
- November 23, 2010
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Specialist (174400000X), Internal Medicine Physician (207R00000X)