Organization
SHAHRIAR J KHALILI MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAHRIAR J KHALILI MD (INCORPORATOR)
(631) 447-8300
Entity
Organization
Contact information
Practice address
285 SILLS RD BLDG 14, E PATCHOGUE, NY 11772-4869
(631) 447-8300
(631) 447-8872
Mailing address
285 SILLS RD BLDG 14, E PATCHOGUE, NY 11772-4869
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
181137
NY
Other
Enumeration date
09/03/2008
Last updated
10/09/2008
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