National Provider Identifier
Portland Physician P.C.
Portland Physician P.C. is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Rochester, NY and a listed phone number of (585) 467-9790.
Profile Overview
- NPI
- 1821252040
- Provider Type
- Organization
- Primary Specialty
- Internal Medicine Physician
- Enumeration Date
- July 16, 2008
- Last Updated
- February 26, 2010
Practice Location
- 1299 Portland Ave Ste 7
- Rochester, NY 14621-2727
Phone: (585) 467-9790
Specialties
- Internal Medicine Physician (207R00000X)
Full Record
- NPI
- 1821252040
- Entity Type
- Organization
- EIN
- <UNAVAIL>
- Organization Name
- Portland Physician P.C.
- Mailing Street Address
- 1299 Portland Ave Ste 7
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14621-2727
- Mailing Country
- US
- Mailing Phone
- (585) 467-9790
- Mailing Fax
- (585) 467-9798
- Practice Street Address
- 1299 Portland Ave Ste 7
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14621-2727
- Practice Country
- US
- Practice Phone
- (585) 467-9790
- Practice Fax
- (585) 467-9798
- Enumeration Date
- July 16, 2008
- Last Updated
- February 26, 2010
- Authorized Official Last Name
- Masood
- Authorized Official First Name
- Gula-Rana
- Authorized Official Title
- Owner
- Authorized Official Phone
- (585) 467-9790
- Organization Subpart
- No
- Authorized Official Name Prefix Text
- Dr.
- Authorized Official Credential Text
- M.D.
- Taxonomy Group 1
- 193200000X Multi-Specialty Group
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Internal Medicine Physician (207R00000X)