| Kevin Pranikoff, MD | |
| 462 Grider Street, Suite 119, Buffalo, NY 14215 | |
| (716) 898-5008 | |
| (716) 898-4186 | 
| Full Name | Kevin Pranikoff | 
|---|---|
| Gender | Male | 
| Speciality | Urology | 
| Location | 462 Grider Street, Buffalo, New York | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1295796845 | NPI | - | NPPES | 
| 00010140903 | Other | BUFFALO COMMUNITY HEALTH | |
| 00010140903 | Other | UNIVERA | |
| 000507827003 | Other | CB COMMUNITY CARE FAMILY | |
| 1900822 | Other | IHA ENCOMPASS 65 | |
| 0010640 | Other | GHI | |
| 000507827003 | Other | COMMUNITY BLUE ADVANTAGE | |
| 00010140903 | Other | UNIVERA CHOICE CARE | |
| 00631434 | Other | GOLD CHOICE MCD | |
| 000507827003 | Other | COMMUNITY BLUE | |
| 000507827003 | Other | COMMUNITY BLUE SENIOR BLU | |
| 00631434 | Medicaid | NY | |
| 1900822 | Other | INDEPENDENT HEALTH | |
| 000507827003 | Other | BLUE CROSS BLUE SHIELD WN | |
| 1900822 | Other | IHA MEDISOURCE | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208800000X | Urology | 124932 (New York) | Primary | 
| Entity Name | Kaleida Health | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1639209596 PECOS PAC ID: 7810805280 Enrollment ID: O20031105000212 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Kevin Pranikoff, MD 462 Grider Street, Suite 119, Buffalo, NY 14215 Ph: (716) 898-5008 | Kevin Pranikoff, MD 462 Grider Street, Suite 119, Buffalo, NY 14215 Ph: (716) 898-5008 | 
| Dr. Ezekiel Young, M.D. Urology Medicare: Medicare Enrolled Practice Location: 1001 Main St, Buffalo, NY 14203 Phone: 716-859-7978 Fax: 716-859-1275 | |
| Naif Abdullah Aldhaam, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 665 Elm St, Buffalo, NY 14203 Phone: 716-845-3389 | |
| Ali Ahmad Ishaq Al-daghmin,  Urology Medicare: Not Enrolled in Medicare Practice Location: Elm And Carlton St, Cell And Virus Building 216, Buffalo, NY 14263 Phone: 716-845-8813 | |
| Roshan Navaratnam,  Urology Medicare: Not Enrolled in Medicare Practice Location: 665 Elm St, Buffalo, NY 14203 Phone: 716-845-3389 | |
| James Lloyd Mohler, MD Urology Medicare: Not Enrolled in Medicare Practice Location: Elm And Carlton St, Buffalo, NY 14263 Phone: 716-845-2300 Fax: 716-845-3300 | |
| Abd El-hamid Khairy, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 21 Spindrift Ct Apt 6, Buffalo, NY 14221 Phone: 269-359-6920 | |
| Mr. Mohammed Ibrahim M Alkalaf, MD Urology Medicare: Not Enrolled in Medicare Practice Location: Elm And Carlton Streets, Roswell Park Comprehensive Ca, Attn: Department Of Urology, Buffalo, NY 14263 Phone: 716-628-2227 |