National Provider Identifier

Bobby Khan, D.O.

Bobby Khan, D.O. is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Shortsville, NY and a listed phone number of (585) 289-3560.

NPI 1649565292Shortsville, NYFamily Medicine Physician

Profile Overview

NPI
1649565292
Provider Type
Individual
Primary Specialty
Family Medicine Physician
Enumeration Date
June 12, 2011
Last Updated
June 29, 2023

Practice Location

  • 15 Canandaigua St
  • Shortsville, NY 14548-9763

Phone: (585) 289-3560

Specialties

  • Family Medicine Physician (207Q00000X)

Endpoints

  • bkhan121605@direct.urmc.rochester.edu

    Direct Messaging Address | Direct | Other | Rochester, NY 14642

Full Record
NPI
1649565292
Entity Type
Individual
Last Name
Khan
First Name
Bobby
Name Prefix
Dr.
Credential
D.O.
Mailing Street Address
15 Canandaigua St
Mailing City
Shortsville
Mailing State
NY
Mailing ZIP Code
14548-9763
Mailing Country
US
Mailing Phone
(585) 289-3560
Practice Street Address
15 Canandaigua St
Practice City
Shortsville
Practice State
NY
Practice ZIP Code
14548-9763
Practice Country
US
Practice Phone
(585) 289-3560
Enumeration Date
June 12, 2011
Last Updated
June 29, 2023
Sex
Male
Sole Proprietor
No
Certification Date
May 14, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Family Medicine Physician (207Q00000X)