Provider Demographics
NPI:1427000348
Name:ZEITOUN, KHALED (MD)
Entity Type:Individual
Prefix:
First Name:KHALED
Middle Name:
Last Name:ZEITOUN
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 1:159 W 53RD ST
Mailing Address - Street 2:APT. 24C
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-6005
Mailing Address - Country:US
Mailing Address - Phone:718-640-5880
Mailing Address - Fax:718-732-2859
Practice Address - Street 1:13710 FRANKLIN AVE
Practice Address - Street 2:SUITE L3
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-3842
Practice Address - Country:US
Practice Address - Phone:718-640-5880
Practice Address - Fax:718-732-2859
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-17
Last Update Date:2009-11-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY200343207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01993939Medicaid
NYG33500Medicare UPIN
NY07088GMedicare ID - Type Unspecified