MEDICARE: RAYMOND KHARGI M.D.

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	208800000X	Urology Physician	316278	NY

General Provider Information

NPI Number	:	1841726486
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAYMOND KHARGI M.D.

Provider Business Mailing Address
First Line	:	1 RESEARCH RD
Second Line	:
City	:	RIDGE
State	:	NY
Zip	:	11961-2701
Country	:	US
Telephone Number	:	631-751-3000
Fax Number	:

Provider Business Practice Location Address
First Line	:	86 SAINT FELIX ST FL 7
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11217-3032
Country	:	US
Telephone Number	:	718-250-6880
Fax Number	:

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

Provider Enumeration Date	:	05/02/2017
Last Update Date	:	05/08/2024

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