National Provider Identifier
Bhavansa Padmanabha, MD
Bhavansa Padmanabha, MD is listed in the NPPES registry with a primary specialty of Surgery Physician in Kenmore, NY and a listed phone number of (716) 876-6170.
Profile Overview
- NPI
- 1841264587
- Provider Type
- Individual
- Primary Specialty
- Surgery Physician
- Enumeration Date
- February 16, 2006
- Last Updated
- July 08, 2007
Practice Location
- 3407 Delaware Ave
- Kenmore, NY 14217-1421
Phone: (716) 876-6170
Specialties
- Surgery Physician (208600000X)
Full Record
- NPI
- 1841264587
- Entity Type
- Individual
- Last Name
- Padmanabha
- First Name
- Bhavansa
- Name Prefix
- Dr.
- Credential
- MD
- Mailing Street Address
- 3407 Delaware Ave
- Mailing City
- Kenmore
- Mailing State
- NY
- Mailing ZIP Code
- 14217-1421
- Mailing Country
- US
- Mailing Phone
- (716) 876-6170
- Mailing Fax
- (716) 876-6170
- Practice Street Address
- 3407 Delaware Ave
- Practice City
- Kenmore
- Practice State
- NY
- Practice ZIP Code
- 14217-1421
- Practice Country
- US
- Practice Phone
- (716) 876-6170
- Practice Fax
- (716) 876-6170
- Enumeration Date
- February 16, 2006
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- X
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Surgery Physician (208600000X)
- Other Identifiers
- 1704020 (Iha), 000503393001 (Blcross)