Individual
DR. RAFIK KHAIMOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6509 99TH ST, REGO PARK, NY 11374-3570
(718) 606-0023
(718) 606-2715
Mailing address
7126 YELLOWSTONE BLVD, FOREST HILLS, NY 11375-3540
(718) 606-2700
(718) 606-2715
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
229933-1
NY
208000000X
Pediatrics Physician
Primary
229933
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02568129
—
NY
01
—
229933-1
NYS LICENSE & R REGIST
NY
Enumeration date
09/28/2006
Last updated
03/07/2023
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