Organization
DR A KHAN MEDICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASIF ALI KHAN MD (DIRECTOR)
(607) 968-1983
Entity
Organization
Contact information
Practice address
890 WESTFALL RD, ROCHESTER, NY 14618-2610
(607) 968-1983
Mailing address
47 ANGELS PATH, WEBSTER, NY 14580-2293
(607) 968-1983
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05068960
—
NY
Enumeration date
11/07/2019
Last updated
11/07/2019
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