Individual
DR. MIKHAIL KHAITOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
8320 141ST ST APT 5A, BRIARWOOD, NY 11435-1616
(646) 724-8066
Mailing address
8320 141ST ST APT 5A, BRIARWOOD, NY 11435-1616
(646) 724-8066
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
307591
NY
207RI0200X
Infectious Disease Physician
307591
NY
208M00000X
Hospitalist Physician
Primary
307591
NY
Other
Enumeration date
03/23/2017
Last updated
03/12/2024
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