Provider Demographics
NPI:1235494543
Name:AKH MEDICAL PC
Entity Type:Organization
Organization Name:AKH MEDICAL PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALI
Authorized Official - Middle Name:A
Authorized Official - Last Name:KHUSSEYN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-676-0404
Mailing Address - Street 1:4750 BEDFORD AVE
Mailing Address - Street 2:APT 5B
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-2651
Mailing Address - Country:US
Mailing Address - Phone:347-420-9332
Mailing Address - Fax:
Practice Address - Street 1:4766B BEDFORD AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-2606
Practice Address - Country:US
Practice Address - Phone:718-676-0404
Practice Address - Fax:347-462-1280
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-12
Last Update Date:2015-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY207829207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty