MEDICARE: ARVIND K. WADHWA 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	207R00000X	Internal Medicine Physician	168079	NY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	110200617	OTHER	NY	RAILROAD MEDICARE PIN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	1629077391	OTHER	NY	NPI

General Provider Information

NPI Number	:	1437341617
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARVIND K. WADHWA M.D.

Provider Business Mailing Address
First Line	:	273 DIVISION ST
Second Line	:
City	:	NORTH TONAWANDA
State	:	NY
Zip	:	14120-4631
Country	:	US
Telephone Number	:	716-693-3344
Fax Number	:	716-693-2448

Provider Business Practice Location Address
First Line	:	273 DIVISION ST
Second Line	:
City	:	NORTH TONAWANDA
State	:	NY
Zip	:	14120-4631
Country	:	US
Telephone Number	:	716-693-3344
Fax Number	:	716-693-2448

Authorized Official
Title or Position	:	M.D.
Name	:	DR. ARVIND K WADHWA
Credential	:	M.D.
Telephone Number	:	716-693-3344

Provider Enumeration Date	:	08/13/2007
Last Update Date	:	02/03/2009

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