Khaimov, Rafik
Khaimov, Rafik is an sole proprietor health care provider with primary practice located at 6509 99Th St , Rego Park NY 11374-3570. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Khaimov, Rafik can be contacted via phone (718) 606-0023.Contact Information
Primary practice address
6509 99Th St
Rego Park NY 11374-3570
Phone: (718) 606-0023
Fax: (718) 606-2715
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 229933-1 | New York |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 229933 | New York |
Profile Details
| NPI number | 1356432652 |
|---|---|
| LBN Legal business name | Khaimov, Rafik |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 28th, 2006 |
| Last updated | Mar 7th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356432652 | NPPES |
| New York | Other | 229933-1 | NYS LICENSE & R REGIST |
| New York | MEDICAID | 02568129 | NYS LICENSE & R REGIST |
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