Yuriy Khanimov Internal Medicine PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

241102 Issued in NY

Legal business name

YURIY KHANIMOV INTERNAL MEDICINE PC

Practice address

2263 E 15TH St
Brooklyn, NY 11229-4316

Phone

(718) 645-2900

NPI assigned

Jun 11, 2009

Organization subpart

No

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

Authorized official

Name

Yuriy Khanimov, M.D.NPI 1700942273

Title

Owner

Phone

(718) 645-2900

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.

• Yuriy Khanimov

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1700942273
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1244678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244678400000",
    "number": "1669609186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2263 E 15TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112294316",
            "telephone_number": "718-645-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2263 E 15TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112294316",
            "telephone_number": "718-645-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YURIY KHANIMOV INTERNAL MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-11",
        "last_updated": "2009-06-11",
        "status": "A",
        "authorized_official_last_name": "KHANIMOV",
        "authorized_official_first_name": "YURIY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-645-2900",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "241102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariya Yurava, RN
• Yelena Yurchenko, DDS
• Sofya Yurfeld, DO
• Yuri Birbrayer Physician PC
• Yuri Fink Medical PC
• Yuriy Kheyfits
• Yuriy Markhasin OT PC
• Inna Yurkovetskaya, MD
• Ezra Yurman-Whyde, LCSW
• Michael Yurman, RPH

• Internal Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2009; 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.