Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Chanwoo Nam, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1649890179

Chanwoo Nam, MD is an Internal Medicine in Buffalo, New York. Qualified in 2015, 11 years ago. Practices with Strong Renal Group, a 47-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
11
Licensed in
NY
In the registry since
2020
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

462 Grider St
Buffalo, NY 14215
Phone: (607) 247-2200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 334365 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1649890179
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 24, 2020
Last updated in NPPESAugust 12, 2025
Certification dateApril 24, 2020
Mailing address120 Corporate Woods, Suite 350, Box 278911, Rochester, NY 14623

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Strong Renal Group — 47 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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