National Provider Identifier
Baktash Bootorabi, MD
Baktash Bootorabi, MD is listed in the NPPES registry with a primary specialty of Diagnostic Radiology Physician in Clifton Spgs, NY and a listed phone number of (315) 462-9561.
Profile Overview
- NPI
- 1992758551
- Provider Type
- Individual
- Primary Specialty
- Diagnostic Radiology Physician
- Enumeration Date
- May 17, 2006
- Last Updated
- January 09, 2026
Practice Location
- 2 Coulter RD
- Clifton Spgs, NY 14432-1122
Phone: (315) 462-9561
Mailing Address
- 300 International Dr Ste 200
- Williamsville, NY 14221-5783
Specialties
- Diagnostic Radiology Physician (2085R0202X)
Full Record
- NPI
- 1992758551
- Entity Type
- Individual
- Last Name
- Bootorabi
- First Name
- Baktash
- Credential
- MD
- Mailing Street Address
- 300 International Dr Ste 200
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-5783
- Mailing Country
- US
- Mailing Phone
- (716) 689-1901
- Mailing Fax
- (716) 564-0209
- Practice Street Address
- 2 Coulter RD
- Practice City
- Clifton Spgs
- Practice State
- NY
- Practice ZIP Code
- 14432-1122
- Practice Country
- US
- Practice Phone
- (315) 462-9561
- Practice Fax
- (716) 564-0209
- Enumeration Date
- May 17, 2006
- Last Updated
- January 09, 2026
- Sex
- Male
- Sole Proprietor
- X
- Certification Date
- January 09, 2026
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Diagnostic Radiology Physician (2085R0202X)