Healthcare Provider Details

I. General information

NPI: 1770788911
Provider Name (Legal Business Name): ANITHA VEMPATY SHRIKHANDE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ANITHA VEMPATY MD

II. Dates (important events)

Enumeration Date: 06/18/2007
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 WHITE SPRUCE BLVD
ROCHESTER NY
14623-1507
US

IV. Provider business mailing address

100 WHITE SPRUCE BLVD
ROCHESTER NY
14623-1507
US

V. Phone/Fax

Practice location:
  • Phone: 585-272-0700
  • Fax: 585-272-8340
Mailing address:
  • Phone: 585-272-0700
  • Fax: 585-272-8340

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number253083
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: