Provider Demographics
NPI:1427096031
Name:PARAMESWARAN, GANAPATHI (MD)
Entity type:Individual
Prefix:
First Name:GANAPATHI
Middle Name:
Last Name:PARAMESWARAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9680 THE MAPLES
Mailing Address - Street 2:
Mailing Address - City:CLARENCE
Mailing Address - State:NY
Mailing Address - Zip Code:14031-1591
Mailing Address - Country:US
Mailing Address - Phone:716-759-1830
Mailing Address - Fax:
Practice Address - Street 1:3495 BAILEY AVE
Practice Address - Street 2:VA MEDICAL CENTER
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14626
Practice Address - Country:US
Practice Address - Phone:716-862-8924
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-04
Last Update Date:2015-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY209332207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
110219219OtherMEDICARE RR
7857288OtherAETNA
MDF386OtherPREFERRED CARE MCO
2509083OtherGHI
000915894002OtherHEALTH NOW
P010000556OtherMONROE PLAN
MDF387OtherPREFERRED CARE MCO
NY01753882Medicaid
P010000556OtherBLUE CHOICE MCO
110219219OtherMEDICARE RR
G47105Medicare UPIN