Healthcare Provider Details

I. General information

NPI: 1558283325
Provider Name (Legal Business Name): INGA KHANJYAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16 GUION PL
NEW ROCHELLE NY
10801-5502
US

IV. Provider business mailing address

10 LECOUNT PL APT 20Q
NEW ROCHELLE NY
10801-6594
US

V. Phone/Fax

Practice location:
  • Phone: 914-365-3680
  • Fax: 914-365-5489
Mailing address:
  • Phone: 201-856-8306
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: