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Individual

DR. FARHAN S IMRAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1425 PORTLAND AVE, ROCHESTER, NY 14621-3001
(585) 922-4020
(585) 922-4622
Mailing address
1425 PORTLAND AVE, ROCHESTER, NY 14621-3001
(585) 922-4020
(585) 922-4622

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
274201
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01131126/RGH
NY
05
03013641
NY
01
232758
PREFERRED CARE/MVP
01
P010003160
BLUE CHOICE
01
P020003160
BCBS ROCHESTER/EXCELLUS
Enumeration date
05/06/2008
Last updated
07/14/2014
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