Khaitov Medical PLLC

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

Legal business name

KHAITOV MEDICAL PLLC

Practice address

60 W 68TH St Apt 1B
New York, NY 10023-6048

Phone

(646) 724-8066

NPI assigned

Sep 12, 2022

Organization subpart

No

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

Authorized official

Name

Mikhail Khaitov, DONPI 1265963094

Title

Ceo / Physician

Phone

(646) 724-8066

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mikhail Khaitov, D.O.

  • Hospitalist Physician
  • Briarwood, NY
  • NPI 1265963094

  Infectious Disease

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662940800000",
    "number": "1437871977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7925 150TH ST APT F19",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113673817",
            "telephone_number": "646-724-8066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 W 68TH ST APT 1B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100236048",
            "telephone_number": "646-724-8066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHAITOV MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-12",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A",
        "authorized_official_last_name": "KHAITOV",
        "authorized_official_first_name": "MIKHAIL",
        "authorized_official_title_or_position": "CEO / PHYSICIAN",
        "authorized_official_telephone_number": "646-724-8066",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Izabel Mazal Khaimova
• Rebecca L Khaimova
• Tasmina Khair
• Ternjyot Khaira, DC
• Ali Khairat, M.D.
• Sergey Khaitov, M.D.
• Anzhelika Khaitova, PHARM. D
• Viktoriya Khaitova, RPA-C
• Roxanna Khajavi, DMD
• Nazanin Khajoueinejad, MD

• Infectious Disease Physician in New York, NY
• Providers in New York, NY by specialty
• Infectious Disease Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.