Provider Demographics
NPI:1588222715
Name:SAKTHIVEL, GUKAN (MD)
Entity Type:Individual
Prefix:DR
First Name:GUKAN
Middle Name:
Last Name:SAKTHIVEL
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 1:1428 MAYPORT DRIVE
Mailing Address - Street 2:
Mailing Address - City:OSHAWA
Mailing Address - State:ON
Mailing Address - Zip Code:L1J 8K4
Mailing Address - Country:CA
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:601 ELMWOOD AVE
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14642-2306
Practice Address - Country:US
Practice Address - Phone:585-276-3000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-03
Last Update Date:2020-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program