Individual
MICHAEL KHAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O., RPH
Contact information
Practice address
585 SCHENECTADY AVE, ANESTHESIA DEPT., BROOKLYN, NY 11203-1851
(718) 604-5207
(718) 604-5571
Mailing address
3998 FAIR RIDGE DR., SUITE 300, FAIRFAX, VA 22033-2921
(703) 295-9360
(703) 766-9725
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
047086
NY
207L00000X
Anesthesiology Physician
Primary
246571
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03224297
—
NY
Enumeration date
07/19/2007
Last updated
01/26/2015
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