Organization
KHAITOV MEDICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKHAIL KHAITOV DO (CEO / PHYSICIAN)
(646) 724-8066
Entity
Organization
Contact information
Practice address
60 W 68TH ST APT 1B, NEW YORK, NY 10023-6048
(646) 724-8066
Mailing address
7925 150TH ST APT F19, FLUSHING, NY 11367-3817
(646) 724-8066
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Enumeration date
09/12/2022
Last updated
09/12/2022
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