Individual
BIPUL BAIBHAV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1425 PORTLAND AVE, ROCHESTER, NY 14621-3001
(585) 922-4193
Mailing address
1425 PORTLAND AVE, ROCHESTER, NY 14621-3001
(585) 922-4193
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
003343
NY
207RC0000X
Cardiovascular Disease Physician
Primary
268363
NY
207RM1200X
Magnetic Resonance Imaging (MRI) Internal Medicine Physician
268363
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03119986
—
NY
Enumeration date
09/08/2008
Last updated
04/23/2021
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