Individual
HASAN KARIM KHONDKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
758 HARRISON AVE, RIVERHEAD, NY 11901-2744
(631) 727-5112
(631) 727-9061
Mailing address
758 HARRISON AVE, RIVERHEAD, NY 11901-2744
(631) 727-5112
(631) 727-9061
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
254607
NY
Other
Enumeration date
08/26/2008
Last updated
11/30/2015
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