Provider Demographics
NPI:1700870482
Name:KHARTOON, BIBI F (MD)
Entity Type:Individual
Prefix:DR
First Name:BIBI
Middle Name:F
Last Name:KHARTOON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:450 CLARKSON AVE
Mailing Address - Street 2:BOX 1262
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11203-2056
Mailing Address - Country:US
Mailing Address - Phone:718-270-8867
Mailing Address - Fax:718-270-1794
Practice Address - Street 1:450 CLARKSON AVE
Practice Address - Street 2:SUITE A
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11203-2056
Practice Address - Country:US
Practice Address - Phone:718-270-1531
Practice Address - Fax:718-270-1561
Is Sole Proprietor?:No
Enumeration Date:2005-09-08
Last Update Date:2016-01-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY196476-1207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01761233Medicaid
NYG45394Medicare UPIN
NY01761233Medicaid