Yaukoolbodi, Samret

Yaukoolbodi, Samret is an individual health care provider with primary practice located at 100 High St , Buffalo NY 14203-1126. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, which is considered as his primary health care specialty. Yaukoolbodi, Samret can be contacted via phone (716) 852-1977.

Contact Information

Primary practice address
100 High St Buffalo NY 14203-1126
Phone: (716) 852-1977
Fax: (716) 859-7388
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 137351 New York

Profile Details

NPI number 1588686471
LBN Legal business name Yaukoolbodi, Samret
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 23rd, 2006
Last updated Feb 10th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588686471 NPPES
Other 00025409601 UNIVERA
Other 5608983 UNIVERA
Other CRDRA1373513 UNIVERA
Other 00025409602 UNIVERA
Other 000525482004 UNIVERA
MEDICAID 00486508 UNIVERA
Other 300122352 UNIVERA

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