Provider Demographics
NPI:1962436642
Name:VILKHU, RAVINDER KAUR (MD)
Entity type:Individual
Prefix:DR
First Name:RAVINDER
Middle Name:KAUR
Last Name:VILKHU
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:338 HARRIS HILL RD
Mailing Address - Street 2:SUITE 207
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-7470
Mailing Address - Country:US
Mailing Address - Phone:716-634-4798
Mailing Address - Fax:716-634-0987
Practice Address - Street 1:2605 HARLEM RD
Practice Address - Street 2:DEPARTMENT OF ANESTHESIA
Practice Address - City:CHEEKTOWAGA
Practice Address - State:NY
Practice Address - Zip Code:14225-4018
Practice Address - Country:US
Practice Address - Phone:716-634-4798
Practice Address - Fax:716-634-0987
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2008-10-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY191286-1207L00000X, 208VP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01415329Medicaid
NYV1Y79605Medicare ID - Type Unspecified
NY01415329Medicaid