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NPI Code Detail

MEDICARE: DR. ARIELLA KASHI KHAITOV MD

MEDICARE: DR. ARIELLA KASHI KHAITOV 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
1208000000XPediatrics PhysicianME162861FL

General Provider Information

NPI Number : 1700405818
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ARIELLA KASHI KHAITOV MD
Provider Business Mailing Address
First Line : 10 MOUNTAIN LN
Second Line :
City : HOLMDEL
State : NJ
Zip : 07733-1107
Country : US
Telephone Number : 732-239-0399
Fax Number :
Provider Business Practice Location Address
First Line : 100 WOODS RD
Second Line :
City : VALHALLA
State : NY
Zip : 10595-1530
Country : US
Telephone Number : 914-493-7000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2020
Last Update Date : 03/04/2026

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