Hrag Khodaverdian, M.D.

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

2601 Ocean Pkwy Nyc Health & Hospitals South Brooklyn H
Room 7E
Brooklyn, NY 11235

Phone

(718) 616-3779

NPI assigned

May 7, 2024

Sex

Male

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 7, 2024.

{
    "created_epoch": "1715040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1831947720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 OCEAN PKWY NYC HEALTH & HOSPITALS SOUTH BROOKLYN H",
            "address_2": "ROOM 7E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11235",
            "telephone_number": "718-616-3779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 OCEAN PKWY NYC HEALTH & HOSPITALS SOUTH BROOKLYN H",
            "address_2": "ROOM 7E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11235",
            "telephone_number": "718-616-3779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHODAVERDIAN",
        "first_name": "HRAG",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-07",
        "last_updated": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamari Khmiadashvili
• Saeid Khodabakhsh, MD
• Armand Khodadadi, DPM
• Ayoob Khodadadi, M.D.,
• David Khodadadian, MD
• Elnora Khodjaeva, FNP
• Valerie Khodorkovskiy, OTRL
• Yuliya Khodos
• Yelena Khodosh, DDS
• Zinaida Khodosh, M.D.

• All providers in Brooklyn, NY
• Student in an Organized Health Care Education/Training Program in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.