Individual
NIDA KHALID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1425 PORTLAND AVE, ROCHESTER, NY 14621-3001
(585) 922-4000
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
305542
NY
207R00000X
Internal Medicine Physician
305542
NY
207RG0100X
Gastroenterology Physician
Primary
305542
NY
Other
Enumeration date
06/22/2017
Last updated
11/04/2024
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