Takhalov, Arkadiy
Takhalov, Arkadiy is an individual health care provider with primary practice located at 11206 71St Rd , Forest Hills NY 11375-4643. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Takhalov, Arkadiy can be contacted via phone (718) 520-8585.Contact Information
Primary practice address
11206 71St Rd
Forest Hills NY 11375-4643
Phone: (718) 520-8585
Fax: (718) 520-8688
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 221398 | New York |
Profile Details
| NPI number | 1396842316 |
|---|---|
| LBN Legal business name | Takhalov, Arkadiy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Sep 30th, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396842316 | NPPES |
| New York | MEDICAID | 02169102 |
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