Avtar S Samra, MD is a
Pediatrics physician based in Tonawanda, New York. Avtar S Samra is licensed to practice in New York (license number 189530) and his current practice location is 300 Two Mile Creek Rd, Tonawanda, New York. He can be reached at his office (for appointments etc.) via phone at
(716) 447-6450.
NPI number for Avtar S Samra is 1427078138 and his current mailing address is 300 Two Mile Creek Rd, Tonawanda, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1427078138.
Physician's Profile
Full Name | Avtar S Samra |
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Gender | Male |
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Speciality | Pediatrics |
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Location | 300 Two Mile Creek Rd, Tonawanda, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1427078138
- Provider Enumeration Date: 07/19/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Avtar S Samra such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1427078138 | NPI | - | NPPES |
000523654001 | Other | NY | BLUE CROSS OF WNY |
00010156101 | Other | NY | UNIVERA HEALTHCARE |
040426000412 | Other | NY | FIDELIS |
1207083 | Other | NY | INDEPENDENT HEALTH |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 189530 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Avtar S Samra is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Avtar S Samra, MD 300 Two Mile Creek Rd, Tonawanda, NY 14150-6618 Ph: (716) 447-6450 | Avtar S Samra, MD 300 Two Mile Creek Rd, Tonawanda, NY 14150-6618 Ph: (716) 447-6450 |
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