Organization
KHAIMOV PEDIATRICS PLLC
Active
Other names
Rafik Khaimov Medical PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAFIK KHAIMOV MD (PRESIDENT)
(917) 776-3092
Entity
Organization
Contact information
Practice address
64-05 YELLOWSTONE BLVD, CF104, FOREST HILLS, NY 11375-5656
(718) 606-2700
(718) 606-2715
Mailing address
71-26 YELLOWSTONE BLVD, FOREST HILLS, NY 11375-5656
(718) 606-2700
(718) 606-2715
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02568129
—
NY
Enumeration date
08/29/2012
Last updated
08/29/2012
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