KEVIN PRANIKOFF (NPI# 1295796845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295796845 |
| Entity Type | Individual |
| Full Name | KEVIN PRANIKOFF |
| Credential | MD |
| Practice Address |
462 Grider Street Suite 119 Buffalo NY 14215 |
| Practice Telephone | 7168985008 |
| Practice Fax Number | 7168984186 |
| Mailing Telephone | 7168985008 |
| Mailing Fax Number | 7168984186 |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2012-06-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 124932 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UNIVERA CHOICE CARE | 00010140903 | 01 | |
| COMMUNITY BLUE | 000507827003 | 01 | |
| GOLD CHOICE MCD | 00631434 | 01 | |
| GHI | 0010640 | 01 | |
| COMMUNITY BLUE SENIOR BLU | 000507827003 | 01 | |
| NY | 00631434 | 05 | |
| BUFFALO COMMUNITY HEALTH | 00010140903 | 01 | |
| COMMUNITY BLUE ADVANTAGE | 000507827003 | 01 | |
| CB COMMUNITY CARE FAMILY | 000507827003 | 01 | |
| UNIVERA | 00010140903 | 01 | |
| INDEPENDENT HEALTH | 1900822 | 01 | |
| IHA ENCOMPASS 65 | 1900822 | 01 | |
| IHA MEDISOURCE | 1900822 | 01 | |
| BLUE CROSS BLUE SHIELD WN | 000507827003 | 01 |
| Street Address |
462 GRIDER STREET SUITE 119 |
| City | BUFFALO |
| State | NY |
| Zip Code | 14215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780664441 | Vladan Radovic | Psychiatry & Neurology | 462 Grider Street, Buffalo, NY 14215 | 2006-01-19 |
| 1356962237 | Arabi Rasendrakumar | Student in an Organized Health Care Education/Training Program | 462 Grider Street, Buffalo, NY 14215 | 2020-05-01 |
| 1053932996 | Danny Yaspaul Ram | Student in an Organized Health Care Education/Training Program | 462 Grider Street, Buffalo, NY 14215 | 2020-05-01 |
| 1649890179 | Chanwoo Nam | Student in an Organized Health Care Education/Training Program | 462 Grider Street, Buffalo, NY 14215 | 2020-04-24 |
| 1689294175 | Hamza Aftab | Student in an Organized Health Care Education/Training Program | 462 Grider Street, Department of Medicine, Education Office, Buffalo, NY 14215 | 2020-04-24 |
| 1982223921 | Christian Barrett Gluck | Student in an Organized Health Care Education/Training Program | 462 Grider Street, Dk Miller Bldg, 3rd Floor, Buffalo, NY 14215-3021 | 2020-04-09 |
| 1508495656 | Mohamad Kalot | Student in an Organized Health Care Education/Training Program | 462 Grider Street, Buffalo, NY 14215 | 2020-04-02 |
| 1760049027 | Amir Akl | Student in an Organized Health Care Education/Training Program | 462 Grider Street, Buffalo, NY 14215 | 2019-05-22 |
| 1699331736 | Jibran Mohd Mirza | Student in an Organized Health Care Education/Training Program | 462 Grider Street, Buffalo, NY 14215 | 2019-05-14 |
| 1477119790 | Caitlin Saundra Galbo | Student in an Organized Health Care Education/Training Program | 462 Grider Street, Ecmc - Dk Miller Bldg., 3rd Floor, Room C319, Buffalo, NY 14215 | 2019-05-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497366413 | Krista Lea Marita Koskinen | Student in an Organized Health Care Education/Training Program | 462 Grider Street, 11th Floor, Erie County Medical Cent, Buffalo, NY 14215 | 2020-08-13 |
| 1851919112 | Temitope Oluwaseun Ajayi | Student in an Organized Health Care Education/Training Program | 132 Affinity Lane, Buffalo, NY 14215 | 2020-07-13 |
| 1134741986 | Alexandra Lucia Tibil | Student in an Organized Health Care Education/Training Program | 462 Grider Street, Erie County Medical Center David K., Buffalo, NY 14215 | 2020-05-15 |
| 1093336646 | Sanjeevani Tomar | Student in an Organized Health Care Education/Training Program | University At Buffalo-suny, Department of Medicine, 462 Grider Street, Buffalo, NY 14215 | 2020-05-05 |
| 1982225926 | Rohan Pandey | Student in an Organized Health Care Education/Training Program | 462 Grider St. Erie County Medical Center, Buffalo, NY 14215 | 2020-04-30 |
| 1235759911 | Michael William O'donnell | Student in an Organized Health Care Education/Training Program | Erie County Medical Center Dk Miller Building, 462 Grider Street, Buffalo, NY 14215 | 2020-04-22 |
| 1780204883 | Ishwor Sharma | Student in an Organized Health Care Education/Training Program | Ecmc 462, Grider Street, Dk Miller Bldg, First Floor, Room C100-b, Buffalo, NY 14215 | 2020-04-20 |
| 1174142632 | Salman Masood | Student in an Organized Health Care Education/Training Program | 462 Grider Street Buffalo, Ny 14215, Buffalo, NY 14215 | 2020-04-14 |
| 1730718354 | Charles Feng Hua Zhang | Student in an Organized Health Care Education/Training Program | Erie County Medical Center, 462 Grider Street, Buffalo, NY 14215 | 2020-04-06 |
| 1700415650 | Joseph Charles L'huillier | Student in an Organized Health Care Education/Training Program | General Surgery Residency Program, Ecmc, Dk Miller Bdg, 462 Grider Street, Buffalo, NY 14215 | 2020-04-03 |
| Find all providers in zip 14215 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225487879 | Abd El-hamid Khairy | Urology | 21 Spindrift Ct Apt 6, Buffalo, NY 14221-7898 | 2016-06-05 |
| 1104962737 | Pediatric Urology of Western New York P C | Urology | 100 High St, #c2, Buffalo, NY 14203 | 2007-01-30 |
| 1457971822 | Ahmed S. Elsayed | Urology | Elm and Carlton St, Buffalo, NY 14263-0001 | 2020-04-25 |
| 1114570868 | Naif Abdullah Aldhaam | Urology | 665 Elm St, Buffalo, NY 14203-1104 | 2019-07-22 |
| 1962987909 | Ahmed Abouelenin | Urology | 665 Elm St, Buffalo, NY 14203-1104 | 2018-09-26 |
| 1568940195 | Arun Ramdas Menon | Urology | 665 Elm St, Buffalo, NY 14203-1104 | 2018-08-06 |
| 1952858839 | Ahmed Aly Hussein Aly | Urology | Elm and Carlton Streets, Buffalo, NY 14263-0001 | 2016-09-08 |
| 1801279989 | Luciano Adolfo Nunez Bragayrac | Urology | Elm and Carlton St, Buffalo, NY 14263-0001 | 2015-07-07 |
| 1598176265 | Urology Associates, Ltd. | Urology | 1700 Highway 25 N, Buffalo, MN 55313-1930 | 2014-05-15 |
| 1356786453 | Adam Benjamin Klein | Urology | 100 High St, Buffalo, NY 14203 | 2013-05-02 |
| Find all providers in BUFFALO | ||||
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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.