Khadavi, Michael
Khadavi, Michael is an individual health care provider with primary practice located at 935 Northern Blvd Ste 104, Great Neck NY 11021. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Khadavi, Michael can be contacted via phone (516) 487-0155.Contact Information
Primary practice address
935 Northern Blvd Ste 104
Great Neck NY 11021
Phone: (516) 487-0155
Fax: (516) 487-8390
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 111343 | New York |
Profile Details
| NPI number | 1982612883 |
|---|---|
| LBN Legal business name | Khadavi, Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 4th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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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