National Provider Identifier

Omar S Khokhar, MD

Omar S Khokhar, MD is listed in the NPPES registry with a primary specialty of General Practice Physician in Attica, NY and a listed phone number of (585) 591-0800.

NPI 1750382834Attica, NYGeneral Practice Physician

Profile Overview

NPI
1750382834
Provider Type
Individual
Primary Specialty
General Practice Physician
Enumeration Date
August 10, 2005
Last Updated
January 28, 2011

Practice Location

  • 3325 E Main Street RD
  • Attica, NY 14011-9506

Phone: (585) 591-0800

Mailing Address

  • PO Box 265
  • 3325 E Main St
  • Attica, NY 14011-0265

Specialties

  • General Practice Physician (208D00000X)
Full Record
NPI
1750382834
Entity Type
Individual
Last Name
Khokhar
First Name
Omar
Middle Name
S
Name Prefix
Dr.
Credential
MD
Mailing Street Address
PO Box 265
Mailing Address Line 2
3325 E Main St
Mailing City
Attica
Mailing State
NY
Mailing ZIP Code
14011-0265
Mailing Country
US
Mailing Phone
(585) 591-0800
Mailing Fax
(585) 591-4204
Practice Street Address
3325 E Main Street RD
Practice City
Attica
Practice State
NY
Practice ZIP Code
14011-9506
Practice Country
US
Practice Phone
(585) 591-0800
Practice Fax
(585) 591-4204
Enumeration Date
August 10, 2005
Last Updated
January 28, 2011
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
General Practice Physician (208D00000X)
Other Identifiers
00010090701 (NY, Univera), 00633078 (NY), P010140294 (NY, Premier Helath Plan), 000607913003 (NY, Blue Cross), 0101478 (NY, Indh), 4301608 (NY, Aetna), 1402941 (NY, Sate Ins Fund), 161166300 (NY, Empire), 0047126 (NY, Ghi), 010065467 (NY, Railroad Medicare), 1402940 (NY, Workers Compensation)