Individual
MOHAMMAD TALAL KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1425 PORTLAND AVE, ROCHESTER, NY 14621-3001
(585) 922-5067
(585) 922-2908
Mailing address
300 COMMUNITY DRIVE, MANHASSET, NY 11030
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
263125
NY
207RH0003X
Hematology & Oncology Physician
Primary
263125
NY
Other
Enumeration date
02/08/2010
Last updated
06/12/2017
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