Healthcare Provider Details

I. General information

NPI: 1467030585
Provider Name (Legal Business Name): HALIMA BAKILLAH MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/30/2021
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44 CHESTER AVE
ROCHESTER NY
14623-2041
US

IV. Provider business mailing address

44 CHESTER AVE
ROCHESTER NY
14623-2041
US

V. Phone/Fax

Practice location:
  • Phone: 215-828-9747
  • Fax: 585-877-9050
Mailing address:
  • Phone: 215-828-9747
  • Fax: 585-877-9050

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number333083
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: