DR. KALYAN K SHASTRI (NPI# 1275794554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275794554 |
| Entity Type | Individual |
| Full Name | DR. KALYAN K SHASTRI |
| Credential | MD |
| Practice Address |
2914 Elmwood Ave Kenmore NY 14217-1332 |
| Mailing Address |
48 Lockhart Cir Buffalo NY 14228-3728 |
| Practice Telephone | 7164477260 |
| Practice Fax Number | 7164477263 |
| Mailing Telephone | 9724087326 |
| Mailing Fax Number | 9082823152 |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2020-08-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
60 267346 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03528503 | 05 |
| Street Address |
2914 ELMWOOD AVE |
| City | KENMORE |
| State | NY |
| Zip Code | 14217-1332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881687358 | David A Silverstein | Family Medicine | 2914 Elmwood Ave, Kenmore, NY 14217-1332 | 2005-08-30 |
| 1770938383 | Julie K Baudo | Dietitian, Registered | 2914 Elmwood Ave, Kenmore, NY 14217 | 2016-05-02 |
| 1710345343 | Kenmore Family Medicine | Dietitian, Registered | 2914 Elmwood Ave, Kenmore, NY 14217-1332 | 2016-02-10 |
| 1740627942 | Paul Campana | Family Medicine | 2914 Elmwood Ave, Kenmore, NY 14217-1332 | 2013-05-29 |
| 1043503246 | Jonathan D Kessler | Family Medicine | 2914 Elmwood Ave, Kenmore, NY 14217-1332 | 2011-05-20 |
| 1962682518 | Comprehensive Family Care, Pllc | Family Medicine | 2914 Elmwood Ave, Suite #2, Kenmore, NY 14217-1332 | 2007-11-13 |
| 1235327834 | Buffalo Suburban I.d., Inc. | Internal Medicine | 2914 Elmwood Ave, Suite 2, Kenmore, NY 14217-1332 | 2007-10-09 |
| 1124119029 | Kenmore Family Medicine, LLP | Family Medicine | 2914 Elmwood Ave, Kenmore, NY 14217-1332 | 2006-09-27 |
| 1639113129 | Elizabeth Certo | Physician Assistant | 2914 Elmwood Ave, Kenmore, NY 14217-1332 | 2006-06-15 |
| 1710921200 | Lynda Erick | Nurse Practitioner | 2914 Elmwood Ave, Kenmore, NY 14217-1332 | 2006-06-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316585201 | Emma Rae Rooney | Student in an Organized Health Care Education/Training Program | 2900 Delaware Ave., Kenmore, NY 14217 | 2019-12-11 |
| 1558801530 | Elizabeth Fazio | Local Education Agency (LEA) | 3767 Delaware Ava, Kenmore, NY 14217 | 2017-02-24 |
| 1477940393 | Laura Sabia | Case Manager/Care Coordinator | 2900 Deleware Avenue, Kenmore, NY 14217 | 2015-04-17 |
| 1770994881 | Kenmore Family Medicine | Family Medicine | 2914 Elmwood Avenue, Kenmore, NY 14217 | 2014-05-12 |
| 1144576265 | Elizabeth Anne Leiser | Nurse Practitioner | 274 W Girard Blvd, Kenmore, NY 14217 | 2012-07-26 |
| 1730442385 | Christopher Landeo | Case Manager/Care Coordinator | 2900 Delaware Avenue, Kenmore, NY 14217 | 2012-06-19 |
| 1013291095 | Sharon Karnyski | Physical Therapist | 2900 Delaware Avenu, Kenmore, NY 14217 | 2011-10-07 |
| 1164706784 | Joanne Karen Cascio | Registered Nurse | 3756 Delaware Avenue, Kenmore, NY 14217 | 2011-09-30 |
| 1467742692 | Nicole Anne Perrotta | Occupational Therapy Assistant | 3767 Delaware Avenue, Kenmore, NY 14217 | 2011-04-08 |
| 1538466511 | Diane J. Sutter, M.d., LLC | Obstetrics & Gynecology | 3800 Delaware Avenue, Suite 102, Kenmore, NY 14217 | 2011-02-28 |
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| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982868857 | Simona Velicu | Psychiatry & Neurology | Weatherby Inc, 37 Allegany Ave, Kenmore, NY 14217-2008 | 2008-07-10 |
| 1942472402 | George C Kalonaros Md | Psychiatry & Neurology | 2950 Elmwood Ave, Kenmore, NY 14217-1304 | 2008-03-25 |
| 1396703583 | George Constantine Kalonaros | Psychiatry & Neurology | 2950 Elmwood Ave, Kenmore, NY 14217-1304 | 2006-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124638275 | Oversight Physician Services Pllc | Psychiatry & Neurology | 198 Sussex Dr, Manhasset, NY 11030-3737 | 2020-08-04 |
| 1841818234 | Padmaja Aradhya Md Pllc | Psychiatry & Neurology | 17 Dillon Dr, Dix Hills, NY 11746-7945 | 2020-07-11 |
| 1184279085 | All Island Neurology PC | Psychiatry & Neurology | 11617 Atlantic Ave, Richmond Hill, NY 11418-3141 | 2019-08-07 |
| 1346802352 | Ny Neurology Medicine PC | Psychiatry & Neurology | 305 7th Ave Rm 13c, New York, NY 10001-6155 | 2019-07-01 |
| 1770144636 | Upstate Neurology P.C. | Psychiatry & Neurology | 804 Syska Rd, Ossining, NY 10562-1424 | 2019-06-21 |
| 1659836518 | David T Finkelstein | Psychiatry & Neurology | 3619 Bedford Ave Apt 1b, Brooklyn, NY 11210-5254 | 2019-02-05 |
| 1801360029 | Ghassan George Haddad | Psychiatry & Neurology | 20 Waterside Plz Apt 26e, New York, NY 10010-2665 | 2019-01-22 |
| 1427527472 | Daniel Ahoubim Md PC | Psychiatry & Neurology | 37 W 26th St Rm 204, New York, NY 10010-1145 | 2018-11-20 |
| 1053889378 | Paul Wright, M.d. | Psychiatry & Neurology | 500 N Broadway Ste 16, Jericho, NY 11753-2127 | 2018-11-05 |
| 1770096109 | Wpw Medical, Pllc | Psychiatry & Neurology | 280 Dobbs Ferry Rd Ste 206, White Plains, NY 10607-1912 | 2017-11-07 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.