Provider Demographics
NPI:1730821950
Name:VIRDEE, SARENA RAKHI (MBCHB)
Entity type:Individual
Prefix:DR
First Name:SARENA
Middle Name:RAKHI
Last Name:VIRDEE
Suffix:
Gender:F
Credentials:MBCHB
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6551 BEECHER DR
Mailing Address - Street 2:
Mailing Address - City:HORNELL
Mailing Address - State:NY
Mailing Address - Zip Code:14843-9485
Mailing Address - Country:US
Mailing Address - Phone:585-280-6442
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:14642-0001
Practice Address - Country:US
Practice Address - Phone:585-758-7732
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-08
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY316536207ZN0500X
NYP1148162085R0202X, 2085R0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology
No207ZN0500XAllopathic & Osteopathic PhysiciansPathologyNeuropathology
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology