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Great Lakes Physician, PC

Urology Physician in Cheektowaga, NY · enumerated 2006 · authorized official Kairav Chevli, Managing Physician.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1659310092

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Registry record

Entity type Organization (Type 2)
Legal business name Great Lakes Physician, PC
Other name <Unavail>
Practice address 3085 Harlem Rd, Suite 350, Cheektowaga, NY, 14225
Phone (716) 844-5000
Fax (716) 844-5050
Enumeration date Jun 4, 2006
Last updated in NPPES Jun 7, 2022

Taxonomy & classification

207ZP0105X Clinical Pathology/Laboratory Medicine Physician Allopathic & Osteopathic Physicians Secondary
2085R0001X Radiation Oncology Physician Allopathic & Osteopathic Physicians Secondary
208800000X Urology Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Kairav Chevli
Title Managing Physician
Phone (716) 844-5000

Other identifiers

Identifier Type State Issuer
03869087 Medicaid NY -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Great Lakes Physician, PC located?
The practice location on file with NPPES is in Cheektowaga, NY.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2022-06-07. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-06-07.