MEDICARE: DR. ASHVANI K GULATI M.D.

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	207W00000X	Ophthalmology Physician	180207	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	161003886	OTHER	NY	TAX ID
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1245228642
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ASHVANI K GULATI M.D.

Provider Business Mailing Address
First Line	:	BUFFALO EYE CENTER
Second Line	:	3750 DELAWARE AVE
City	:	KENMORE
State	:	NY
Zip	:	14217-1002
Country	:	US
Telephone Number	:	716-874-2455
Fax Number	:	716-874-5775

Provider Business Practice Location Address
First Line	:	BUFFALO EYE CENTER
Second Line	:	3750 DELAWARE AVE
City	:	KENMORE
State	:	NY
Zip	:	14217-1002
Country	:	US
Telephone Number	:	716-874-2455
Fax Number	:	716-874-5775

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

Provider Enumeration Date	:	10/10/2005
Last Update Date	:	08/12/2022

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