National Provider Identifier
Periasamy Samikkannu, MD
Periasamy Samikkannu, MD is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Webster, NY and a listed phone number of (585) 872-0650.
Profile Overview
- NPI
- 1790776342
- Provider Type
- Individual
- Primary Specialty
- Internal Medicine Physician
- Enumeration Date
- November 02, 2005
- Last Updated
- June 30, 2010
Practice Location
- 45 Webster Commons Blvd
- Ste 200
- Webster, NY 14580-3813
Phone: (585) 872-0650
Specialties
- Internal Medicine Physician (207R00000X)
Full Record
- NPI
- 1790776342
- Entity Type
- Individual
- Last Name
- Samikkannu
- First Name
- Periasamy
- Credential
- MD
- Mailing Street Address
- 45 Webster Commons Blvd
- Mailing Address Line 2
- Ste 200
- Mailing City
- Webster
- Mailing State
- NY
- Mailing ZIP Code
- 14580-3813
- Mailing Country
- US
- Mailing Phone
- (585) 872-0650
- Mailing Fax
- (585) 872-2474
- Practice Street Address
- 45 Webster Commons Blvd
- Practice Address Line 2
- Ste 200
- Practice City
- Webster
- Practice State
- NY
- Practice ZIP Code
- 14580-3813
- Practice Country
- US
- Practice Phone
- (585) 872-0650
- Practice Fax
- (585) 872-2474
- Enumeration Date
- November 02, 2005
- Last Updated
- June 30, 2010
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Internal Medicine Physician (207R00000X)