Provider Demographics
NPI:1831514397
Name:KHAIT MEDICAL CARE, P.C.
Entity type:Organization
Organization Name:KHAIT MEDICAL CARE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D.
Authorized Official - Prefix:
Authorized Official - First Name:EUGENE
Authorized Official - Middle Name:
Authorized Official - Last Name:KHAIT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-509-5836
Mailing Address - Street 1:855 E 7TH ST
Mailing Address - Street 2:APT # 2
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-2246
Mailing Address - Country:US
Mailing Address - Phone:914-509-5836
Mailing Address - Fax:914-357-2489
Practice Address - Street 1:1584 E 66TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11234-6006
Practice Address - Country:US
Practice Address - Phone:914-509-5836
Practice Address - Fax:914-357-2489
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-20
Last Update Date:2014-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY258582207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03494277Medicaid
NY03494277Medicaid