MEDICARE: DR. DAVID KHASKI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician	230818	NY
2	207R00000X	Internal Medicine Physician	230818	NY

General Provider Information

NPI Number	:	1720268220
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID KHASKI MD

Provider Business Mailing Address
First Line	:	372 AVENUE U
Second Line	:	SUITE 1B
City	:	BROOKLYN
State	:	NY
Zip	:	11223-4018
Country	:	US
Telephone Number	:	718-645-8303
Fax Number	:	718-645-8507

Provider Business Practice Location Address
First Line	:	372 AVENUE U
Second Line	:	SUITE 1B
City	:	BROOKLYN
State	:	NY
Zip	:	11223-4018
Country	:	US
Telephone Number	:	718-645-8303
Fax Number	:	718-645-8507

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/13/2007
Last Update Date	:	04/05/2021

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