SAMRET YAUKOOLBODI (NPI# 1588686471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588686471 |
| Entity Type | Individual |
| Full Name | SAMRET YAUKOOLBODI |
| Credential | MD |
| Practice Address |
100 High St Buffalo NY 14203-1126 |
| Mailing Address |
100 High St Ste B252 Buffalo NY 14203-1126 |
| Practice Telephone | 7168521977 |
| Practice Fax Number | 7168597388 |
| Mailing Telephone | 7168521977 |
| Mailing Fax Number | 7168597388 |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2012-02-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
137351 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BLUE SHIELD WESTERN NY | 000525482004 | 01 | |
| WORKERS COMPENSATION | CRDRA1373513 | 01 | |
| NY | 00486508 | 05 | |
| INDEPENDENT HEALTH | 5608983 | 01 | |
| UNIVERA | 00025409601 | 01 | |
| RAILROAD MEDICARE | 300122352 | 01 | |
| UNIVERA | 00025409602 | 01 |
| Street Address |
100 HIGH ST |
| City | BUFFALO |
| State | NY |
| Zip Code | 14203-1126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093712077 | Kristen M Salvamoser | Physician Assistant | 100 High St, Buffalo, NY 14203-1126 | 2005-07-05 |
| 1801401765 | Sheena Deering | Nurse Practitioner | 100 High St, Buffalo, NY 14203-1126 | 2020-09-08 |
| 1528679321 | Sarah E Hinterberger | Nurse Practitioner | 100 High St, Buffalo, NY 14203-1126 | 2020-08-14 |
| 1841801537 | Amanda Scafetta | Nurse Practitioner | 100 High St, Buffalo, NY 14203-1126 | 2020-08-14 |
| 1023629938 | Ashlie Graham | Nurse Practitioner | 100 High St, Buffalo, NY 14203-1126 | 2020-08-13 |
| 1740800747 | Brian Girard | Student in an Organized Health Care Education/Training Program | 100 High St, Buffalo, NY 14203-1126 | 2020-04-20 |
| 1558981761 | Jule Deren | Student in an Organized Health Care Education/Training Program | 100 High St, Buffalo, NY 14203-1126 | 2020-04-17 |
| 1164041505 | Matthew Jon Peterson | Student in an Organized Health Care Education/Training Program | 100 High St, Buffalo, NY 14203-1126 | 2020-04-15 |
| 1679192249 | Garrett Skinner | Student in an Organized Health Care Education/Training Program | 100 High St, Buffalo, NY 14203-1126 | 2020-04-13 |
| 1245859065 | Kenan Rodwan Rajjoub | Student in an Organized Health Care Education/Training Program | 100 High St, Buffalo, NY 14203-1126 | 2020-04-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912514902 | Valerie Anne Conley | Counselor | 475 Elllicott St., Buffalo, NY 14203 | 2020-09-24 |
| 1457975674 | Qing Ma | Pharmacist | Nys Center of Excellence In Bioinformatics and Life Sci, 701 Ellicott Street, Buffalo, NY 14203 | 2020-06-03 |
| 1265056659 | Elizabeth Nicole Mancuso | Student in an Organized Health Care Education/Training Program | 1001 Main Street University At Buffalo, Department of P, 5th Floor, Buffalo, NY 14203 | 2020-06-02 |
| 1720601404 | Ronak Dhiraj Bahuva | Student in an Organized Health Care Education/Training Program | 955 Main Street, University At Buffalo, Jacobs School O, Buffalo, NY 14203 | 2020-05-28 |
| 1780207266 | Jaya Mishra | Student in an Organized Health Care Education/Training Program | 818 Ellicot Street, Buffalo, NY 14203 | 2020-05-19 |
| 1013530617 | Amanpreet Kaur Singh | Student in an Organized Health Care Education/Training Program | 77 Goodell Street Department of Medicine, Suite 240, Buffalo, NY 14203 | 2020-05-19 |
| 1013538917 | Leen Hosam Alyacoub | Student in an Organized Health Care Education/Training Program | 100 High Street, D2-76 Buffalo, Ny 14203, Buffalo Gener, Buffall, NY 14203 | 2020-05-01 |
| 1003436601 | Maxiam Dean | Student in an Organized Health Care Education/Training Program | Ub Family Residency Program, 77 Goodell Street, 2nd Floor, Buffalo, NY 14203 | 2020-04-23 |
| 1144849837 | Jennifer Anthone-kloss | Student in an Organized Health Care Education/Training Program | Anesthesiology Residency & Fellowship Programs, Ub Gateway, 77 Goodell Street, Suite 550, Buffalo, NY 14203 | 2020-04-13 |
| 1821658873 | Peter William Ip Fung Chun | Student in an Organized Health Care Education/Training Program | 1001 Main Street, Room 5145, Division of Pediatric Medical Education, Buffalo, NY 14203 | 2019-06-20 |
| Find all providers in zip 14203 | ||||
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043737992 | Nikhil Patel Physician Pllc | Radiology | 2950 Elmwood Ave, Buffalo, NY 14217-1304 | 2017-08-22 |
| 1104266691 | Safet Lekperic | Radiology | Elm and Carlton St, Buffalo, NY 14263-0001 | 2013-06-27 |
| 1205186079 | Massoud Arbabzadeh Md P.C. | Radiology | 2809 Wehrle Dr Ste 13, Buffalo, NY 14221-7385 | 2012-09-19 |
| 1780772400 | Kaleida Health | Radiology | 3 Gates Cir, Buffalo, NY 14209-1120 | 2006-10-10 |
| 1467476291 | Azher Iqbal | Radiology | 100 High St, Buffalo, NY 14203-1126 | 2006-07-26 |
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| 1174083828 | Mark Medical Care Queens Pllc | Radiology | 6405 Woodside Ave, Woodside, NY 11377-3654 | 2019-03-20 |
| 1962917492 | Israel Schur Md Pllc | Radiology | 202 Centre St Fl 5, New York, NY 10013-3613 | 2017-12-06 |
| 1659897775 | 9909 Medical | Radiology | 2515 Crescent St Ste 1, Astoria, NY 11102-4370 | 2017-08-21 |
| 1104357896 | Paramount Diagnostics LLC | Radiology | 201 Irving Pl, Woodmere, NY 11598-1639 | 2017-03-23 |
| 1881009926 | Dennis Cummings | Radiology | 450 Clarkson Ave., Box 1262, Department Suny Downstate Medical Center, Brooklyn, NY 11203-1262 | 2014-06-27 |
| 1699192815 | Amir Noor | Radiology | 240 E 86th St Apt Phb, New York, NY 10028-3000 | 2014-03-26 |
| 1689014987 | Advanced Access Medical Care, Pllc | Radiology | 1733 Eastchester Rd, Bronx, NY 10461-2315 | 2013-07-01 |
| 1851739601 | Vascular Interventional Services | Radiology | 6335 Transit Rd, Depew, NY 14043-1030 | 2013-06-13 |
| 1437406238 | Arbabzadeh Massoud Physician, PC | Radiology | 2809 Wehrle Dr Ste 13, Williamsville, NY 14221-7385 | 2012-08-10 |
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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.