National Provider Identifier
Prashant Pendyala, MD
Prashant Pendyala, MD is listed in the NPPES registry with a primary specialty of Nephrology Physician in Lockport, NY and a listed phone number of (716) 650-0373.
Profile Overview
- NPI
- 1801842844
- Provider Type
- Individual
- Primary Specialty
- Nephrology Physician
- Enumeration Date
- May 25, 2006
- Last Updated
- March 14, 2021
Practice Location
- 53 Elizabeth Dr
- Lockport, NY 14094-5226
Phone: (716) 650-0373
Mailing Address
- 50 Sanctuary Ct
- Buffalo, NY 14221-3963
Specialties
- Nephrology Physician (207RN0300X)
- Internal Medicine Physician (207R00000X)
Full Record
- NPI
- 1801842844
- Entity Type
- Individual
- Last Name
- Pendyala
- First Name
- Prashant
- Credential
- MD
- Mailing Street Address
- 50 Sanctuary Ct
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14221-3963
- Mailing Country
- US
- Mailing Phone
- (716) 912-9595
- Practice Street Address
- 53 Elizabeth Dr
- Practice City
- Lockport
- Practice State
- NY
- Practice ZIP Code
- 14094-5226
- Practice Country
- US
- Practice Phone
- (716) 650-0373
- Enumeration Date
- May 25, 2006
- Last Updated
- March 14, 2021
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- March 14, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Nephrology Physician (207RN0300X), Internal Medicine Physician (207R00000X)
- Other Identifiers
- 02212706 (NY)