Provider Demographics
NPI:1336142876
Name:BHAYANI, HANSA HEMANT (MD)
Entity Type:Individual
Prefix:DR
First Name:HANSA
Middle Name:HEMANT
Last Name:BHAYANI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:HANSA
Other - Middle Name:
Other - Last Name:BHAYANI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:6406 NEIL DR
Mailing Address - Street 2:
Mailing Address - City:LOCKPORT
Mailing Address - State:NY
Mailing Address - Zip Code:14094-6409
Mailing Address - Country:US
Mailing Address - Phone:716-433-8533
Mailing Address - Fax:
Practice Address - Street 1:2605 HARLEM RD
Practice Address - Street 2:
Practice Address - City:CHEEKTOWAGA
Practice Address - State:NY
Practice Address - Zip Code:14225-4018
Practice Address - Country:US
Practice Address - Phone:716-891-2400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-05-28
Last Update Date:2011-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1593821207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00842782Medicaid
NY00842782Medicaid
NY004153Medicare PIN