Provider Demographics
NPI:1376964973
Name:BAKHRIBAH, HATOON (MD)
Entity Type:Individual
Prefix:
First Name:HATOON
Middle Name:
Last Name:BAKHRIBAH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ELM & CARLTON STREETS
Mailing Address - Street 2:ROSWELL PARK CANCER INSTITUTE
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14263
Mailing Address - Country:US
Mailing Address - Phone:716-845-4101
Mailing Address - Fax:716-845-3423
Practice Address - Street 1:ELM & CARLTON STREETS
Practice Address - Street 2:ROSWELL PARK CANCER INSTITUTE
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14263
Practice Address - Country:US
Practice Address - Phone:716-845-4101
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-12-27
Last Update Date:2013-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP90-532207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology