Individual
DR. MIKHAIL I. KHAIMOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
311 BAY AVE STE 300B, GLEN RIDGE, NJ 07028-1607
(973) 798-4777
(201) 523-9550
Mailing address
311 BAY AVE STE 300B, GLEN RIDGE, NJ 07028-1607
(973) 798-4777
(201) 523-9550
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
272593
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/16/2012
Last updated
05/15/2026
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