MEDICARE: DR. HAMED SARIKHANI 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	390200000X	Student in an Organized Health Care Education/Training Program
2	207R00000X	Internal Medicine Physician	330337	NY

General Provider Information

NPI Number	:	1386222594
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HAMED SARIKHANI MD

Provider Business Mailing Address
First Line	:	623A WILLOUGHBY AVE APT 2
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11206-7790
Country	:	US
Telephone Number	:	718-960-9000
Fax Number	:	718-960-9000

Provider Business Practice Location Address
First Line	:	ST. BARNABAS HEALTH 4422 THIRD AVENUE BRONX, NY 10457
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10457-6211
Country	:	US
Telephone Number	:	718-960-6202
Fax Number	:	718-960-6202

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

Provider Enumeration Date	:	03/30/2021
Last Update Date	:	06/25/2025

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