Provider Demographics
NPI:1043537962
Name:A.KHAKEE M.D.P.C.
Entity type:Organization
Organization Name:A.KHAKEE M.D.P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:AKBERALI
Authorized Official - Middle Name:G
Authorized Official - Last Name:KHAKEE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-476-8855
Mailing Address - Street 1:637 YONKERS AVE
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10704-2630
Mailing Address - Country:US
Mailing Address - Phone:914-476-8855
Mailing Address - Fax:914-476-2033
Practice Address - Street 1:637 YONKERS AVE
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10704-2630
Practice Address - Country:US
Practice Address - Phone:914-476-8855
Practice Address - Fax:914-476-2033
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-02
Last Update Date:2010-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY099977261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty