Individual
TAREK R KHATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.,
Contact information
Practice address
229 E 85TH ST, 672, NEW YORK, NY 10028-9600
(917) 960-0821
(646) 952-2004
Mailing address
229 E 85TH ST, 672, NEW YORK, NY 10028-9600
(917) 960-0821
(646) 952-2004
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
128919
NY
208D00000X
General Practice Physician
2010966 PTAL
CA
246XS1301X
Sonography Specialist/Technologist Cardiovascular
CCI: 00093517
NC
2471S1302X
Sonography Radiologic Technologist
ARDMS: 176911
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
128919
NYC MRC
NY
01
—
3517284
DBA
NY
Enumeration date
09/02/2015
Last updated
02/12/2026
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