Individual
MR. RAHMAN ILKHANIZADEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
849 57TH STREET, STE 801, BROOKLYN, NY 11220-3797
(718) 768-3560
(212) 500-3328
Mailing address
180 OLD WESTBURY RD, OLD WESTBURY, NY 11568-1100
(718) 768-3560
(212) 500-3328
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
146711
NY
2086S0129X
Vascular Surgery Physician
Primary
146711
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00775553
—
NY
Enumeration date
07/19/2006
Last updated
05/28/2025
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