Provider Demographics
NPI:1689122988
Name:KHAN, JUNAD (BDS, MDS, MPH, PHD)
Entity Type:Individual
Prefix:DR
First Name:JUNAD
Middle Name:
Last Name:KHAN
Suffix:
Gender:M
Credentials:BDS, MDS, MPH, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2400 S CLINTON AVE
Mailing Address - Street 2:STE 125
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14618-2668
Mailing Address - Country:US
Mailing Address - Phone:585-341-7316
Mailing Address - Fax:585-341-7320
Practice Address - Street 1:UNIVERSITY OF ROCHESTER
Practice Address - Street 2:601 ELMWOOD AVE
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14642
Practice Address - Country:US
Practice Address - Phone:585-784-8200
Practice Address - Fax:585-784-8207
Is Sole Proprietor?:No
Enumeration Date:2016-09-14
Last Update Date:2023-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000080122300000X, 1223X2210X
NY801223X2210X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X2210XDental ProvidersDentistOrofacial Pain
No122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYEASTMAN DENTALOtherEASTMAN DENTAL