National Provider Identifier
Chanwoo Nam, M.D.
Chanwoo Nam, M.D. is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Buffalo, NY and a listed phone number of (607) 247-2200.
Profile Overview
- NPI
- 1649890179
- Provider Type
- Individual
- Primary Specialty
- Internal Medicine Physician
- Enumeration Date
- April 24, 2020
- Last Updated
- August 12, 2025
Practice Location
- 462 Grider Street
- Buffalo, NY 14215
Phone: (607) 247-2200
Mailing Address
- 120 Corporate Woods, Suite 350, Box 278911
- Rochester, NY 14623
Specialties
- Internal Medicine Physician (207R00000X)
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1649890179
- Entity Type
- Individual
- Last Name
- Nam
- First Name
- Chanwoo
- Credential
- M.D.
- Mailing Street Address
- 120 Corporate Woods, Suite 350, Box 278911
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14623
- Mailing Country
- US
- Mailing Phone
- (585) 784-8842
- Practice Street Address
- 462 Grider Street
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14215
- Practice Country
- US
- Practice Phone
- (607) 247-2200
- Enumeration Date
- April 24, 2020
- Last Updated
- August 12, 2025
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- April 24, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Internal Medicine Physician (207R00000X), Student in an Organized Health Care Education/Training Program (390200000X)