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NPI Code Detail

MEDICARE: DR. SUKHWINDER SINGH KODIAL M.D.

MEDICARE: DR. SUKHWINDER SINGH KODIAL M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207QA0505XAdult Medicine Physician249807-1NY

General Provider Information

NPI Number : 1043416365
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SUKHWINDER SINGH KODIAL M.D.
Provider Business Mailing Address
First Line : 425 ESSJAY RD STE 170
Second Line :
City : WILLIAMSVILLE
State : NY
Zip : 14221-5782
Country : US
Telephone Number : 716-630-1233
Fax Number : 716-817-1763
Provider Business Practice Location Address
First Line : 325 ESSJAY RD
Second Line :
City : WILLIAMSVILLE
State : NY
Zip : 14221-8243
Country : US
Telephone Number : 716-630-1143
Fax Number : 716-817-1763
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2007
Last Update Date : 12/20/2021

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