Provider Demographics
NPI:1104011618
Name:KARAYIL, AJITH K (MD)
Entity Type:Individual
Prefix:
First Name:AJITH
Middle Name:K
Last Name:KARAYIL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:34 INVERNESS CT
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10605-5113
Mailing Address - Country:US
Mailing Address - Phone:606-909-2289
Mailing Address - Fax:718-589-7952
Practice Address - Street 1:1575 WESTCHESTER AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10472-2912
Practice Address - Country:US
Practice Address - Phone:718-842-8900
Practice Address - Fax:718-589-7952
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-07
Last Update Date:2021-01-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY40424207Q00000X
NY251400207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine