National Provider Identifier
Emmanuel Packianathan, MD
Emmanuel Packianathan, MD is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Buffalo, NY and a listed phone number of (716) 822-2028.
Profile Overview
- NPI
- 1932147410
- Provider Type
- Individual
- Primary Specialty
- Family Medicine Physician
- Enumeration Date
- June 04, 2006
- Last Updated
- August 19, 2011
Practice Location
- 154 Cazenovia St
- Buffalo, NY 14210-2436
Phone: (716) 822-2028
Mailing Address
- 4979 Harlem RD
- Amherst, NY 14226-2547
Specialties
- Family Medicine Physician (207Q00000X)
Full Record
- NPI
- 1932147410
- Entity Type
- Individual
- Last Name
- Packianathan
- First Name
- Emmanuel
- Credential
- MD
- Mailing Street Address
- 4979 Harlem RD
- Mailing City
- Amherst
- Mailing State
- NY
- Mailing ZIP Code
- 14226-2547
- Mailing Country
- US
- Mailing Phone
- (716) 923-4390
- Mailing Fax
- (716) 923-4394
- Practice Street Address
- 154 Cazenovia St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14210-2436
- Practice Country
- US
- Practice Phone
- (716) 822-2028
- Practice Fax
- (716) 822-2029
- Enumeration Date
- June 04, 2006
- Last Updated
- August 19, 2011
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Medicine Physician (207Q00000X)
- Other Identifiers
- 01605325 (NY)