Periasamy Samikkannu, MD
Internal Medicine in Webster, NY. Individual provider (NPI-1).
NPI number1790776342
StatusActive
Last updated in NPPESJun 30, 2010
Details
- NPI
- 1790776342
- Entity type
- Individual (NPI-1)
- Name
- Periasamy Samikkannu
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 2, 2005
- Last updated
- Jun 30, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 1551301 | NY | Yes |
Practice location
45 Webster Commons BlvdSte 200
Webster, NY 14580-3813
Phone 585-872-0650 · Fax 585-872-2474
Mailing address
45 Webster Commons BlvdSte 200
Webster, NY 14580-3813
Phone 585-872-0650 · Fax 585-872-2474
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