Healthcare Provider Details

I. General information

NPI: 1205985371
Provider Name (Legal Business Name): DAVID OSHALIM MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: DAVID OWSHALIMPUR MD

II. Dates (important events)

Enumeration Date: 01/09/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

620 WESTFALL RD FINGER LAKE DDSO
ROCHESTER NY
14620
US

IV. Provider business mailing address

50 DEVONSHIRE CIR DAVID OSHALIM
PENFIELD NY
14526
US

V. Phone/Fax

Practice location:
  • Phone: 585-461-8588
  • Fax: 585-461-8580
Mailing address:
  • Phone: 585-388-0548
  • Fax: 585-461-8580

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number153021
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207U00000X
TaxonomyNuclear Medicine Physician
License Number153021
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: