Khaimov, Rafik

Khaimov, Rafik is an sole proprietor health care provider with primary practice located at 6509 99Th St , Rego Park NY 11374-3570. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Khaimov, Rafik can be contacted via phone (718) 606-0023.

Contact Information

Primary practice address
6509 99Th St Rego Park NY 11374-3570
Phone: (718) 606-0023
Fax: (718) 606-2715
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 229933-1 New York
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 229933 New York

Profile Details

NPI number 1356432652
LBN Legal business name Khaimov, Rafik
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 28th, 2006
Last updated Mar 7th, 2023 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1356432652 NPPES
New York Other 229933-1 NYS LICENSE & R REGIST
New York MEDICAID 02568129 NYS LICENSE & R REGIST

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