National Provider Identifier
Soidjon D. Khodjaev, MD
Soidjon D. Khodjaev, MD is listed in the NPPES registry with a primary specialty of Cardiovascular Disease Physician in Rochester, NY and a listed phone number of (585) 442-5320.
Profile Overview
- NPI
- 1629313572
- Provider Type
- Individual
- Primary Specialty
- Cardiovascular Disease Physician
- Enumeration Date
- December 04, 2012
- Last Updated
- August 20, 2019
Practice Location
- 1415 Portland Ave Ste 350
- Rochester, NY 14621
Phone: (585) 442-5320
Mailing Address
- 100 Kings Hwy S
- Rochester, NY 14617-5504
Specialties
- Cardiovascular Disease Physician (207RC0000X)
Full Record
- NPI
- 1629313572
- Entity Type
- Individual
- Last Name
- Khodjaev
- First Name
- Soidjon
- Middle Name
- D.
- Credential
- MD
- Mailing Street Address
- 100 Kings Hwy S
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14617-5504
- Mailing Country
- US
- Mailing Phone
- (585) 442-5320
- Mailing Fax
- (585) 442-5526
- Practice Street Address
- 1415 Portland Ave Ste 350
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14621
- Practice Country
- US
- Practice Phone
- (585) 442-5320
- Practice Fax
- (585) 442-5526
- Enumeration Date
- December 04, 2012
- Last Updated
- August 20, 2019
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Cardiovascular Disease Physician (207RC0000X)