Larisa Abdurakhmanova, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

254067 Issued in NY

Practice address

1552 W 3Rd St Apt 3B
Brooklyn, NY 11204-4133

Phone

(718) 552-2007

NPI assigned

Jul 22, 2009

Last updated

Jul 22, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1248220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248220800000",
    "number": "1073743142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1552 W 3RD ST APT 3B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112044133",
            "telephone_number": "718-552-2007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1552 W 3RD ST APT 3B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112044133",
            "telephone_number": "718-552-2007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDURAKHMANOVA",
        "first_name": "LARISA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-22",
        "last_updated": "2009-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "254067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohammed Abdulrazzaq
• Younos Abdulsattar, PHARM.D.
• Shuaib Abdur-Raheem, MPS
• Alexander Abdurakhmanov, MD
• Izrail Abdurakhmanov, MD
• Margarita Abdurakhmanova
• Zarema Abduramanova
• Sayyora Abdurazzakova
• Tahira Abdurrahman
• Zulfiya Abdusamadov

• Pediatrics Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.