| Khaitov Medical Pllc | |
|
60 W 68th St Apt 1b New York NY 10023-6048 | |
| (646) 724-8066 | |
| Not Available |
| Full Name | Khaitov Medical Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 60 W 68th St Apt 1b, New York, New York |
| Authorized Official Name and Position | Mikhail Khaitov (CEO / PHYSICIAN) |
| Authorized Official Contact | 6467248066 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Khaitov Medical Pllc 7925 150th St Apt F19 Flushing NY 11367-3817 Ph: (646) 724-8066 | Khaitov Medical Pllc 60 W 68th St Apt 1b New York NY 10023-6048 Ph: (646) 724-8066 |
| NPI Number | 1437871977 |
|---|---|
| Provider Enumeration Date | 09/12/2022 |
| Last Update Date | 09/12/2022 |
| Medicare PECOS PAC ID | 1355719188 |
|---|---|
| Medicare Enrollment ID | O20221128002657 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437871977 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Mikhail Khaitov |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1265963094 PECOS PAC ID: 2062805518 Enrollment ID: I20220207000808 |
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