Provider Demographics
NPI:1770788911
Name:SHRIKHANDE, ANITHA VEMPATY (MD)
Entity type:Individual
Prefix:DR
First Name:ANITHA
Middle Name:VEMPATY
Last Name:SHRIKHANDE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ANITHA
Other - Middle Name:
Other - Last Name:VEMPATY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:99 CANAL LANDING BLVD
Mailing Address - Street 2:SUITE 7
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14626-5112
Mailing Address - Country:US
Mailing Address - Phone:585-723-8710
Mailing Address - Fax:585-723-8395
Practice Address - Street 1:99 CANAL LANDING BLVD
Practice Address - Street 2:SUITE 7
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14626-5112
Practice Address - Country:US
Practice Address - Phone:585-723-8710
Practice Address - Fax:585-723-8395
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-18
Last Update Date:2016-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY253083207KA0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03121588Medicaid
NYJ400021671Medicare PIN
NY03121588Medicaid