Provider Demographics
NPI:1255907317
Name:KHB HEALTH LLC
Entity type:Organization
Organization Name:KHB HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KEREM
Authorized Official - Middle Name:HAKKI
Authorized Official - Last Name:BORTECEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-263-8134
Mailing Address - Street 1:377 E 33RD ST APT 18B
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-9482
Mailing Address - Country:US
Mailing Address - Phone:618-918-1144
Mailing Address - Fax:
Practice Address - Street 1:30 CENTRAL PARK S RM 10A
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-1628
Practice Address - Country:US
Practice Address - Phone:347-749-1174
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-31
Last Update Date:2021-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty