MEDICARE: AJITH K KARAYIL 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	207Q00000X	Family Medicine Physician	40424	KY
2	207Q00000X	Family Medicine Physician	251400	NY

General Provider Information

NPI Number	:	1104011618
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AJITH K KARAYIL MD

Provider Business Mailing Address
First Line	:	34 INVERNESS CT
Second Line	:
City	:	WHITE PLAINS
State	:	NY
Zip	:	10605-5113
Country	:	US
Telephone Number	:	606-909-2289
Fax Number	:	718-589-7952

Provider Business Practice Location Address
First Line	:	1575 WESTCHESTER AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10472-2912
Country	:	US
Telephone Number	:	718-842-8900
Fax Number	:	718-589-7952

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

Provider Enumeration Date	:	09/07/2007
Last Update Date	:	01/20/2021

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