Healthcare Provider Details

I. General information

NPI: 1649265539
Provider Name (Legal Business Name): AJAI K NEMANI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/16/2005
Last Update Date: 08/02/2026
Certification Date: 08/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 HAGEN DR STE 100
ROCHESTER NY
14625-2662
US

IV. Provider business mailing address

100 KINGS HWY S
ROCHESTER NY
14617-5504
US

V. Phone/Fax

Practice location:
  • Phone: 585-899-3450
  • Fax: 585-899-3454
Mailing address:
  • Phone: 585-922-0553
  • Fax: 585-922-0496

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number192893
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: