person
Tarek R Khater, MD,
General Practice Physician in New York, New York
NPI 1720456049

Tarek R Khater is a General Practice Physician based in New York, NY. Tarek R Khater practices in New York, NY and has the professional credentials of MD,. The NPI Number for Tarek R Khater is 1720456049 and holds a License No. 2010966 PTAL (New York).

The current practice location address for Tarek R Khater is 229 E 85Th St, New York, NY and can be reached out via phone at 917-960-0821 and via fax at 646-952-2004. You can also correspond with Tarek R Khater through the mailing address at 229 E 85TH ST, NEW YORK, NY - 10028-9600 (mailing address contact number: 917-960-0821).

Location: 229 E 85Th St, New York, NY, 10028-9600
person
Provider Profile Details
NPI Number
1720456049
Provider Name
Tarek R Khater
Credential
MD,
Provider Entity Type
Individual
Gender
Male
Address
229 E 85Th St, New York, NY, 10028-9600
Phone Number
917-960-0821
Fax Number
646-952-2004
Provider Enumeration Date
09/02/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
128919 01 NY NYC MRC
3517284 01 NY DBA
institution
Provider Business Practice Location Address Details
Address
229 E 85Th St
City
State
Zip
10028-9600
Phone Number
917-960-0821
Fax Number
646-952-2004
person
Provider Business Mailing Address Details
Address
229 E 85Th St
City
State
Zip
10028-9600
Phone Number
917-960-0821
Fax Number
646-952-2004
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
ARDMS: 176911 (Maryland)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Specialist/Technologist Cardiovascular
Speciality
Sonography
Taxonomy
License No.
CCI: 00093517 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Radiologic Technologist
Speciality
Sonography
Taxonomy
License No.
2010966 PTAL (California)
Definition
Definition to come...
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