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Jannika Dodge Khatami, MD
Pediatric Cardiology Physician in Bay Shore, New York
NPI 1366845307

Jannika Dodge Khatami is a Pediatric Cardiology Physician based in Bay Shore, NY and is specialized in Pediatric Cardiology. Jannika Dodge Khatami practices in Bay Shore, NY and has the professional credentials of MD. The NPI Number for Jannika Dodge Khatami is 1366845307 and holds a License No. (New York).

The current practice location address for Jannika Dodge Khatami is 376 E Main St Ste 102, Bay Shore, NY and can be reached out via phone at 631-539-5400.

Location: 376 E Main St Ste 102, Bay Shore, NY, 11706-8441
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366845307
Provider Name
Jannika Dodge Khatami
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
376 E Main St Ste 102, Bay Shore, NY, 11706-8441
Phone Number
631-539-5400
Fax Number
Provider Enumeration Date
10/05/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
376 E Main St Ste 102
City
Bay Shore
State
New York
Zip
11706-8441
Phone Number
631-539-5400
Fax Number
person
Provider Business Mailing Address Details
Address
376 E Main St Ste 102
City
Bay Shore
State
New York
Zip
11706-8441
Phone Number
631-539-5400
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Pediatric Cardiology
Taxonomy
2080P0202X
License No.
292026 (New York)
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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