Provider Demographics
NPI:1366457814
Name:LADRIGAN, MANASI KADAM (MD)
Entity Type:Individual
Prefix:DR
First Name:MANASI
Middle Name:KADAM
Last Name:LADRIGAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MANASI
Other - Middle Name:ARUN
Other - Last Name:KADAM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:900 WINTON RD S
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14618-1628
Mailing Address - Country:US
Mailing Address - Phone:585-381-5800
Mailing Address - Fax:585-348-9461
Practice Address - Street 1:900 WINTON RD S
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14618-1628
Practice Address - Country:US
Practice Address - Phone:585-381-5800
Practice Address - Fax:585-348-9461
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-30
Last Update Date:2022-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY242371207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology