Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 036141235 | IL |
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 257980-1 | NY |
N | 207RC0000X | Internist - Cardiovascular Disease | 257980-1 | NY |
NPI | 1043417157 |
---|---|
Provider Name | Jayant Raikhelkar |
First Address | New York, NY 10032-3725 |
Second Address | New York, NY 10032-3733 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/07/2007 |
Last Update Date | 09/07/2019 |