Provider Demographics
NPI:1801188669
Name:KHAN, IMAD RASHID (MD)
Entity Type:Individual
Prefix:DR
First Name:IMAD
Middle Name:RASHID
Last Name:KHAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:601 ELMWOOD AVE BOX 278984
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14642-0001
Mailing Address - Country:US
Mailing Address - Phone:585-784-9277
Mailing Address - Fax:585-424-7289
Practice Address - Street 1:601 ELMWOOD AVE
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14642-1253
Practice Address - Country:US
Practice Address - Phone:585-275-9238
Practice Address - Fax:585-276-1543
Is Sole Proprietor?:No
Enumeration Date:2011-05-11
Last Update Date:2023-06-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY288520207RC0200X, 2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine