Dodge Khatami, Jannika

Dodge Khatami, Jannika is an sole proprietor health care provider with primary practice located at 376 E Main St Ste 102 , Bay Shore NY 11706-8441. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatric Cardiology. Allopathic & Osteopathic Physicians / Pediatric Cardiology is her primary health care specialty. Dodge Khatami, Jannika can be contacted via phone (631) 539-5400.

Contact Information

Primary practice address
376 E Main St Ste 102 Bay Shore NY 11706-8441
Phone: (631) 539-5400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X 292026 New York

Profile Details

NPI number 1366845307
LBN Legal business name Dodge Khatami, Jannika
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 5th, 2014
Last updated Feb 25th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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