Individual
DR. DJAVLON A KHAKIMOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
255 ROUTE 3 STE 107, SECAUCUS, NJ 07094-3857
(551) 236-5550
Mailing address
3 UNIVERSITY PLZ STE 205, HACKENSACK, NJ 07601-6208
(201) 833-3599
(201) 227-6207
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
25MD00360400
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00000000000000000000
—
NJ
Enumeration date
03/29/2018
Last updated
02/18/2026
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