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Individual

DR. ARIEL KHANIMOV

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
27111 76TH AVE, NEW HYDE PARK, NY 11040-1436
(872) 231-3162
(312) 635-0050
Mailing address
PO BOX 7411009, CHICAGO, IL 60674-3009
(872) 231-3162
(312) 635-0050

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
307779
NY
207R00000X
Internal Medicine Physician
61590
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
06519126
NY
Enumeration date
03/29/2017
Last updated
05/06/2026
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