Provider Demographics
NPI:1114094430
Name:POHAR, SURJEET (MD)
Entity Type:Individual
Prefix:
First Name:SURJEET
Middle Name:
Last Name:POHAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3085 HARLEM RD
Mailing Address - Street 2:STE 350
Mailing Address - City:CHEEKTOWAGA
Mailing Address - State:NY
Mailing Address - Zip Code:14225-2591
Mailing Address - Country:US
Mailing Address - Phone:716-844-5600
Mailing Address - Fax:716-844-5750
Practice Address - Street 1:117 FOOTE AVE
Practice Address - Street 2:
Practice Address - City:JAMESTOWN
Practice Address - State:NY
Practice Address - Zip Code:14701-6947
Practice Address - Country:US
Practice Address - Phone:716-338-9500
Practice Address - Fax:716-338-9550
Is Sole Proprietor?:No
Enumeration Date:2006-11-30
Last Update Date:2021-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01012408922085R0001X
NY2194302085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA2157601OtherUHC/MAMSI
VA248692OtherANTHEM 600 GRESHAM DR
VA308588OtherANTHEM LAKE WRIGHT DR
INP01233062OtherRAILROAD MEDICARE PIN
VAPAROtherFIRST HEALTH COMMERCIAL/SOUTHERN HEALTH/COVENTRY
VAPAROtherCORVEL/CORCARE
NC07269OtherBC/BS
VA10014992OtherSENTARA
VAPAROtherAETNA
VAPAROtherMULTIPLAN
VAPAROtherVIRGINIA HEALTH NETWORK
NC5907269Medicaid
VAPAROtherUSA MANAGED CARE
VAPAROtherCIGNA
VAPAROtherTRICARE/CHAMPUS
VAPAROtherVIRGINIA PREMIER HEALTH
VA1114094430Medicaid
IN201148980Medicaid
VAPAROtherVIRGINIA HEALTH NETWORK
VAPAROtherMULTIPLAN
VAPAROtherUSA MANAGED CARE
VAPAROtherCORVEL/CORCARE