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Contact Information

SHAHRIAR J KHALILI, MD
285 SILLS ROAD
BUILDING #14
EAST PATCHOGUE, NY11772-4869
 Phone: 631-447-8300
 Fax: 631-447-8872
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for SHAHRIAR J KHALILI · (Male)

NPI Number 1124079173
Status Active
Credentials MD
Entity Individual
Enumeration date 05/15/2006
Last updated 03/24/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 181137
  • NY Medicaid 01266086
Hospital affiliation(s)
  • BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER - (Acute Care)
    101 HOSPITAL ROAD
    PATCHOGUE, NY 11772
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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