National Provider Identifier
Samret Yaukoolbodi, MD
Samret Yaukoolbodi, MD is listed in the NPPES registry with a primary specialty of Vascular & Interventional Radiology Physician in Buffalo, NY and a listed phone number of (716) 852-1977.
Profile Overview
- NPI
- 1588686471
- Provider Type
- Individual
- Primary Specialty
- Vascular & Interventional Radiology Physician
- Enumeration Date
- July 23, 2006
- Last Updated
- February 10, 2012
Practice Location
- 100 High St
- Buffalo, NY 14203-1126
Phone: (716) 852-1977
Mailing Address
- 100 High St
- Ste B252
- Buffalo, NY 14203-1126
Specialties
- Vascular & Interventional Radiology Physician (2085R0204X)
Full Record
- NPI
- 1588686471
- Entity Type
- Individual
- Last Name
- Yaukoolbodi
- First Name
- Samret
- Credential
- MD
- Mailing Street Address
- 100 High St
- Mailing Address Line 2
- Ste B252
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14203-1126
- Mailing Country
- US
- Mailing Phone
- (716) 852-1977
- Mailing Fax
- (716) 859-7388
- Practice Street Address
- 100 High St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14203-1126
- Practice Country
- US
- Practice Phone
- (716) 852-1977
- Practice Fax
- (716) 859-7388
- Enumeration Date
- July 23, 2006
- Last Updated
- February 10, 2012
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Vascular & Interventional Radiology Physician (2085R0204X)
- Other Identifiers
- 00025409601 (Univera), 5608983 (Independent Health), CRDRA1373513 (Workers Compensation), 00025409602 (Univera), 000525482004 (Blue Shield Western Ny), 00486508 (NY), 300122352 (Railroad Medicare)