| P Anandaram Herle, MD | |
|
1370 Ridge Rd, Lackawanna, NY 14218-1907 | |
| (716) 826-1881 | |
| Not Available |
| Full Name | P Anandaram Herle |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 1370 Ridge Rd, Lackawanna, 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 |
|---|---|---|---|
| 1043295868 | NPI | - | NPPES |
| 000505460001 | Other | NY | BSWNY |
| 0400558 | Other | NY | IHA |
| 00010075401 | Other | NY | UNIVERA |
| 0076346 | Other | NY | GHI |
| 16101752201 | Other | NY | NOVA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 111776 (New York) | Primary |
| Entity Name | Mercy Hospital Of Buffalo |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164464921 PECOS PAC ID: 8729991666 Enrollment ID: O20040702001253 |
| Mailing Address | Practice Location Address |
|---|---|
| P Anandaram Herle, MD 1370 Ridge Rd, Lackawanna, NY 14218-1907 Ph: (716) 826-1881 | P Anandaram Herle, MD 1370 Ridge Rd, Lackawanna, NY 14218-1907 Ph: (716) 826-1881 |
Alexandria Schultz, PAC Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2600 S Park Ave, Lackawanna, NY 14218 Phone: 716-822-2028 Fax: 716-822-2029 | |
Dr. Debra Lynn Stubeusz, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 227 Ridge Rd, Olv Family Care Center, Lackawanna, NY 14218 Phone: 716-822-5499 Fax: 716-822-3937 | |
Branko Karakas, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1177 Ridge Rd, Lackawanna, NY 14218 Phone: 716-823-9282 | |
Amy Becker, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 55 Melroy Ave, Lackawanna, NY 14218 Phone: 716-819-5050 |