Organization
MARAT CHAIKHOUTDINOV, MEDICAL P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARAT G CHAIKHOUTDINOV M.D. (PRESIDENT)
(209) 479-3226
Entity
Organization
Contact information
Practice address
1513 VOORHIES AVE, SECOND FLOOR, BROOKLYN, NY 11235-3994
(718) 332-4440
(718) 332-0077
Mailing address
105 KINGS HWY, APT. 5C, BROOKLYN, NY 11214-1525
(209) 479-3226
(718) 513-4386
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
240497
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A877660
—
CA
05
—
02823449
—
NY
01
—
I28306
UPIN
NY
Enumeration date
04/18/2008
Last updated
09/12/2008
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