Healthcare Provider Details

I. General information

NPI: 1093781056
Provider Name (Legal Business Name): ABHA RANI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/28/2006
Last Update Date: 07/22/2024
Certification Date: 07/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

325 ESSJAY RD
WILLIAMSVILLE NY
14221-8243
US

IV. Provider business mailing address

425 ESSJAY RD STE 170
WILLIAMSVILLE NY
14221-8235
US

V. Phone/Fax

Practice location:
  • Phone: 716-630-2517
  • Fax: 716-634-5650
Mailing address:
  • Phone: 716-630-1219
  • Fax: 716-817-1726

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number238719
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: