Individual
DR. OMAR S KHOKHAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3325 E MAIN STREET RD, ATTICA, NY 14011-9506
(585) 591-0800
(585) 591-4204
Mailing address
PO BOX 265, 3325 E MAIN ST, ATTICA, NY 14011-0265
(585) 591-0800
(585) 591-4204
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
140294
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010090701
UNIVERA
NY
01
—
000607913003
BLUE CROSS
NY
01
—
0047126
GHI
NY
05
—
00633078
—
NY
01
—
010065467
RAILROAD MEDICARE
NY
01
—
0101478
INDH
NY
01
—
1402940
WORKERS COMPENSATION
NY
01
—
1402941
SATE INS FUND
NY
01
—
161166300
EMPIRE
NY
01
—
4301608
AETNA
NY
01
—
P010140294
PREMIER HELATH PLAN
NY
Enumeration date
08/10/2005
Last updated
01/28/2011
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