National Provider Identifier

Ajay Ganesh Siva, DO

Ajay Ganesh Siva, DO is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Buffalo, NY and a listed phone number of (716) 898-3941.

NPI 1639757313Buffalo, NYStudent in an Organized Health Care Education/Training Program

Profile Overview

NPI
1639757313
Provider Type
Individual
Primary Specialty
Student in an Organized Health Care Education/Training Program
Enumeration Date
April 01, 2021
Last Updated
April 01, 2021

Practice Location

  • 462 Grider St
  • Buffalo, NY 14215-3021

Phone: (716) 898-3941

Specialties

  • Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
NPI
1639757313
Entity Type
Individual
Last Name
Siva
First Name
Ajay
Middle Name
Ganesh
Credential
DO
Mailing Street Address
462 Grider St
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14215-3021
Mailing Country
US
Mailing Phone
(716) 898-3941
Practice Street Address
462 Grider St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14215-3021
Practice Country
US
Practice Phone
(716) 898-3941
Enumeration Date
April 01, 2021
Last Updated
April 01, 2021
Sex
Male
Sole Proprietor
No
Certification Date
April 01, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Student in an Organized Health Care Education/Training Program (390200000X)