Provider Demographics
NPI:1740668334
Name:YAKHKIND, ALEKSANDRA (MD)
Entity type:Individual
Prefix:DR
First Name:ALEKSANDRA
Middle Name:
Last Name:YAKHKIND
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:145 CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02445-7559
Mailing Address - Country:US
Mailing Address - Phone:617-816-0131
Mailing Address - Fax:
Practice Address - Street 1:800 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02111-1552
Practice Address - Country:US
Practice Address - Phone:617-636-5000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-14
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RILP03338207R00000X
CAA1753012084A2900X
ARE-148372084A2900X
PAMD4674722084A2900X
RITMD000112084N0400X
SC867562084A2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084A2900XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurocritical Care
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA290798Medicaid
NC2021-02983OtherNC MEDICAL LICENSE
PAMD467472OtherMEDICAL LICENSE
SCMMD.86756OtherSC MEDICAL LICENSE
MDD92243OtherMD MEDICAL LICENSE
SC867565Medicaid
CAA175301OtherCA MEDICAL LICENSE
ARE-14837OtherAR MEDICAL LICENSE
MS200000077Medicaid