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General NPI Number Information
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NPI Number | 1366515579
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Entity Type | Individual
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Provider Name | HALDIPUR V. JANARDHAN MD
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Gender | Male
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Dates
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Enumeration Date | 11/16/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1299 PORTLAND AVE SUITE 7
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City | ROCHESTER
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State | NY
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Zip | 14621-2730
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Country | US
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Telephone | 585-467-0822
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Fax | 585-467-0003
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Provider Business Mailing Address
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Address Line | 1299 PORTLAND AVE SUITE 7
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City | ROCHESTER
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State | NY
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Zip | 14621-2730
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Country | US
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Telephone | 585-467-0822
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Fax | 585-467-0003
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 108195
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License Number State | NY
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