| NPI | 1447508064 |
|---|---|
| Former Legal Business Name | RAFIK KHAIMOV MEDICAL PC |
| Entity Type | Organization |
| Authorized Contact | RAFIK KHAIMOV President 917-776-3092 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2012-08-29 |