Provider Demographics
NPI:1497015895
Name:KESARWANI, PRIYA (MD)
Entity Type:Individual
Prefix:DR
First Name:PRIYA
Middle Name:
Last Name:KESARWANI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 ELMWOOD AVENUE, BOX 629
Mailing Address - Street 2:UNIVERSITY OF ROCHESTER MEDICAL CENTER, DEPARTMENT OF O
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14642-8629
Mailing Address - Country:US
Mailing Address - Phone:585-276-5181
Mailing Address - Fax:585-271-8552
Practice Address - Street 1:601 ELMWOOD AVENUE, BOX 629
Practice Address - Street 2:UNIVERSITY OF ROCHESTER MEDICAL CENTER, DEPARTMENT OF O
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14642-8629
Practice Address - Country:US
Practice Address - Phone:585-276-5181
Practice Address - Fax:585-271-8552
Is Sole Proprietor?:No
Enumeration Date:2012-05-21
Last Update Date:2012-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program