Khaimov, Daniel

Khaimov, Daniel is an individual health care provider with primary practice located at 5645 Main St , Flushing NY 11355-5045. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Khaimov, Daniel can be contacted via phone (718) 670-1030.

Contact Information

Primary practice address
5645 Main St Flushing NY 11355-5045
Phone: (718) 670-1030
Fax: (516) 437-4167
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 221599-1 New York

Profile Details

NPI number 1518912583
LBN Legal business name Khaimov, Daniel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2006
Last updated Feb 28th, 2013 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518912583 NPPES
New York MEDICAID 02168023

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