National Provider Identifier

Ian Medus, M.D.

Ian Medus, M.D. is listed in the NPPES registry with a primary specialty of Anesthesiology Physician in Buffalo, NY and a listed phone number of (716) 829-6104.

NPI 1932528205Buffalo, NYAnesthesiology Physician

Profile Overview

NPI
1932528205
Provider Type
Individual
Primary Specialty
Anesthesiology Physician
Enumeration Date
April 15, 2014
Last Updated
August 09, 2018

Practice Location

  • 117 Cary Hall
  • 3435 Main St
  • Buffalo, NY 14214

Phone: (716) 829-6104

Mailing Address

  • 1441 Florida Ave
  • Modesto, CA 95350-4404

Specialties

  • Anesthesiology Physician (207L00000X)
  • Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
NPI
1932528205
Entity Type
Individual
Last Name
Medus
First Name
Ian
Name Prefix
Dr.
Credential
M.D.
Mailing Street Address
1441 Florida Ave
Mailing City
Modesto
Mailing State
CA
Mailing ZIP Code
95350-4404
Mailing Country
US
Practice Street Address
117 Cary Hall
Practice Address Line 2
3435 Main St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14214
Practice Country
US
Practice Phone
(716) 829-6104
Enumeration Date
April 15, 2014
Last Updated
August 09, 2018
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Anesthesiology Physician (207L00000X), Student in an Organized Health Care Education/Training Program (390200000X)