Individual provider · NPI-1

Dr. Daniel Khaimov, M.D.

Anesthesiology · Fresh Meadows, NY

NPI number1750545307
StatusActive
Last updated in NPPESJun 25, 2023

Details

NPI
1750545307
Entity type
Individual (NPI-1)
Name
Dr. Daniel Khaimov
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Jul 14, 2008
Certification date
Jun 25, 2023
Last updated
Jun 25, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207L00000X Anesthesiology244768NYYes

Practice location

77-36 169 Street 1st Floor
Fresh Meadows, NY 11366

Phone 718-878-4656 · Fax 718-889-7444

Mailing address

77-36 169 Street 1st Floor
Fresh Meadows, NY 11366

Phone 718-878-4656 · Fax 718-889-7444

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