Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 35.129955 | OH |
N | 208600000X | Surgeon | 35.129955 | OH |
N | 208200000X | Surgeon | 4301079544 | MI |
N | 208600000X | Surgeon | 4301079544 | MI |
N | 208200000X | Surgeon | 4301079544 | MI |
N | 208600000X | Surgeon | 4301079544 | MI |
Y | 2086S0122X | Plastic and Reconstructive Surgery | 249477 | NY |
N | 2086S0122X | Plastic and Reconstructive Surgery | 4301079544 | MI |
NPI | 1265647150 |
---|---|
Provider Name | Nabeel Khan |
First Address | Rochester, NY 14626-4117 |
Second Address | Rochester, NY 14626-4136 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/05/2007 |
Last Update Date | 26/05/2021 |