Provider Demographics
NPI:1962682518
Name:COMPREHENSIVE FAMILY CARE, PLLC
Entity Type:Organization
Organization Name:COMPREHENSIVE FAMILY CARE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RAGHU
Authorized Official - Middle Name:
Authorized Official - Last Name:RAM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:716-447-6901
Mailing Address - Street 1:2914 ELMWOOD AVE
Mailing Address - Street 2:SUITE #2
Mailing Address - City:KENMORE
Mailing Address - State:NY
Mailing Address - Zip Code:14217-1332
Mailing Address - Country:US
Mailing Address - Phone:716-447-6901
Mailing Address - Fax:716-447-6902
Practice Address - Street 1:2914 ELMWOOD AVE
Practice Address - Street 2:SUITE #2
Practice Address - City:KENMORE
Practice Address - State:NY
Practice Address - Zip Code:14217-1332
Practice Address - Country:US
Practice Address - Phone:716-447-6901
Practice Address - Fax:716-447-6902
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-13
Last Update Date:2007-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty