National Provider Identifier
Samuel N Puvendran, MD
Samuel N Puvendran, MD is listed in the NPPES registry with a primary specialty of Geriatric Medicine (Internal Medicine) Physician in West Seneca, NY and a listed phone number of (716) 712-1030.
Profile Overview
- NPI
- 1982920328
- Provider Type
- Individual
- Primary Specialty
- Geriatric Medicine (Internal Medicine) Physician
- Enumeration Date
- April 09, 2010
- Last Updated
- February 05, 2021
Practice Location
- 1026 Union RD
- West Seneca, NY 14224-3445
Phone: (716) 712-1030
Mailing Address
- 2875 Union RD
- Suite 8
- Cheektowaga, NY 14227-1470
Specialties
- Geriatric Medicine (Internal Medicine) Physician (207RG0300X)
- Critical Care Medicine (Internal Medicine) Physician (207RC0200X)
- Internal Medicine Physician (207R00000X)
Full Record
- NPI
- 1982920328
- Entity Type
- Individual
- Last Name
- Puvendran
- First Name
- Samuel
- Middle Name
- N
- Name Prefix
- Dr.
- Credential
- MD
- Mailing Street Address
- 2875 Union RD
- Mailing Address Line 2
- Suite 8
- Mailing City
- Cheektowaga
- Mailing State
- NY
- Mailing ZIP Code
- 14227-1470
- Mailing Country
- US
- Mailing Phone
- (716) 206-1550
- Mailing Fax
- (716) 651-9855
- Practice Street Address
- 1026 Union RD
- Practice City
- West Seneca
- Practice State
- NY
- Practice ZIP Code
- 14224-3445
- Practice Country
- US
- Practice Phone
- (716) 712-1030
- Practice Fax
- (716) 651-9855
- Enumeration Date
- April 09, 2010
- Last Updated
- February 05, 2021
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- February 05, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Geriatric Medicine (Internal Medicine) Physician (207RG0300X), Critical Care Medicine (Internal Medicine) Physician (207RC0200X), Internal Medicine Physician (207R00000X)