Provider Demographics
NPI:1801026406
Name:SAIKALI, RITA FATTOUCH (MD)
Entity Type:Individual
Prefix:
First Name:RITA
Middle Name:FATTOUCH
Last Name:SAIKALI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 818
Mailing Address - Street 2:
Mailing Address - City:MEDINA
Mailing Address - State:NY
Mailing Address - Zip Code:14103-0818
Mailing Address - Country:US
Mailing Address - Phone:585-798-3992
Mailing Address - Fax:585-798-3865
Practice Address - Street 1:521 EAST AVE
Practice Address - Street 2:
Practice Address - City:LOCKPORT
Practice Address - State:NY
Practice Address - Zip Code:14094
Practice Address - Country:US
Practice Address - Phone:716-514-5700
Practice Address - Fax:716-514-5788
Is Sole Proprietor?:No
Enumeration Date:2009-07-17
Last Update Date:2018-09-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY253727207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology