MEDICARE: GRISHMA JALEMU

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
1	207R00000X	Internal Medicine Physician	MT228638	PA

General Provider Information

NPI Number	:	1144905191
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GRISHMA JALEMU

Provider Business Mailing Address
First Line	:	726 EXCHANGE ST STE 710
Second Line	:
City	:	BUFFALO
State	:	NY
Zip	:	14210-1464
Country	:	US
Telephone Number	:	716-852-4772
Fax Number	:

Provider Business Practice Location Address
First Line	:	535 MAIN ST
Second Line	:
City	:	OLEAN
State	:	NY
Zip	:	14760-1500
Country	:	US
Telephone Number	:	716-372-0141
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/19/2023
Last Update Date	:	04/13/2026

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Directions to “ GRISHMA JALEMU ” Practice Location

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