| K P Khakhar | |
|
4321 Greenpoint Ave Sunnyside NY 11104 | |
| (718) 786-4175 | |
| (718) 786-7577 |
| Full Name | K P Khakhar |
|---|---|
| Speciality | Dentist |
| Location | 4321 Greenpoint Ave, Sunnyside, New York |
| Authorized Official Name and Position | Kaushik P Khakhar (OWNER) |
| Authorized Official Contact | 7187864175 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| K P Khakhar 4321 Greenpoint Ave Sunnyside NY 11104 Ph: (718) 786-4175 | K P Khakhar 4321 Greenpoint Ave Sunnyside NY 11104 Ph: (718) 786-4175 |
| NPI Number | 1093911554 |
|---|---|
| Provider Enumeration Date | 06/22/2007 |
| Last Update Date | 07/24/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093911554 | NPI | - | NPPES |
| 02576736 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 033307 (* (Not Available)) | Primary |
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