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Search › New York › 2080P0202X

Jannika Dodge Khatami, M.D

NPI 1366845307 · on the registry since 2014 · sole proprietor

Practice

Address
376 E Main St Ste 102
Bay Shore, NY 11706
Phone
(631) 539-5400
Clinicians at this address
14

Additional practice sites

  • 2500 N State St, Jackson, MS
  • 6410 Fannin St Ste 500, Houston, TX

Registry record

Primary taxonomy
2080P0202X
2080P0202X
Also registered as
390200000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-02-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York