MEDICARE: DR. ANISHA PAHWA 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	390200000X	Student in an Organized Health Care Education/Training Program
2	207RG0300X	Geriatric Medicine (Internal Medicine) Physician	307430	NY

General Provider Information

NPI Number	:	1730534660
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANISHA PAHWA M.D.

Provider Business Mailing Address
First Line	:	34 BENWOOD AVE
Second Line	:
City	:	BUFFALO
State	:	NY
Zip	:	14214-1761
Country	:	US
Telephone Number	:	716-986-9199
Fax Number	:

Provider Business Practice Location Address
First Line	:	COMMUNITY HEALTH CENTER OF BUFFALO
Second Line	:	34 BENWOOD DRIVE
City	:	BUFFALO
State	:	NY
Zip	:	14214
Country	:	US
Telephone Number	:	716-986-9199
Fax Number	:

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

Provider Enumeration Date	:	04/28/2016
Last Update Date	:	06/12/2026

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