Provider Demographics
NPI:1366407173
Name:BHAYANA, RANJAN (MD)
Entity type:Individual
Prefix:DR
First Name:RANJAN
Middle Name:
Last Name:BHAYANA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6255 SHERIDAN DR
Mailing Address - Street 2:SUITE 304
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-4836
Mailing Address - Country:US
Mailing Address - Phone:716-857-8666
Mailing Address - Fax:716-857-8944
Practice Address - Street 1:6333 MAIN ST
Practice Address - Street 2:SUITE 2
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-5800
Practice Address - Country:US
Practice Address - Phone:716-630-1164
Practice Address - Fax:716-630-2608
Is Sole Proprietor?:No
Enumeration Date:2006-04-18
Last Update Date:2011-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY192011-1207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY060062004OtherRR MEDICARE
NY0021748OtherGHI
NY00010297501OtherUNIVERA
NY000524631004OtherHEALTH NOW
NY161000580OtherNORTH AMERICAN PREFERRED
NY01419410Medicaid
NY161000580OtherEMPIRE
NY192011-5BOtherWORKERS COMPENSATION
NY2108964OtherIHA
NY161000580OtherEMPIRE
NY192011-5BOtherWORKERS COMPENSATION