SAMRET YAUKOOLBODI MD NPI 1588686471

NPI Information

NPI: 1588686471
Provider Name: SAMRET YAUKOOLBODI, MD
Classification: Radiology - 2085R0204X
Entity Type: Individual

Specialization: Vascular & Interventional Radiology

Address:
100 HIGH ST
BUFFALO, NY
ZIP 14203
Phone: (716) 852-1977
Get Directions

Samret Yaukoolbodi, MD is a vascular and interventional radiology radiology in Buffalo, NY. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. Samret Yaukoolbodi, MD NPI is 1588686471. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

100 HIGH ST
BUFFALO, NY
ZIP 14203-126
Phone: (716) 852-1977
Fax: (716) 859-7388

The enumeration date for this NPI number is 7/23/2006 and was last updated on 2/10/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0204X	Radiology	Vascular & Interventional Radiology	137351	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	B36266	MEDICARE UPIN	NEW YORK
2	00486508	MEDICAID	NEW YORK
3	000525482004	OTHER		BLUE SHIELD WESTERN NY
4	00025409602	OTHER		UNIVERA
5	300122352	OTHER		RAILROAD MEDICARE
6	CRDRA1373513	OTHER		WORKERS COMPENSATION
7	I76493	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK
8	CC6182	MEDICARE PIN	NEW YORK
9	00025409601	OTHER		UNIVERA
10	5608983	OTHER		INDEPENDENT HEALTH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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