KASHYAR KHODABAKHSH M.D.P.C.
NPI 1164940490
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Great Neck, NY

Q: What is Kashyar Khodabakhsh M.D.P.C.'s NPI number?

The NPI number for Kashyar Khodabakhsh M.D.P.C. is 1164940490. It was assigned to this organization in the NPPES registry on September 7, 2017.

Q: What is Kashyar Khodabakhsh M.D.P.C.'s specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.

Active since September 07, 2017

260 MIDDLE NECK RD APT 1E, GREAT NECK, NY 11021(516) 487-5044 Get Directions Write a Review

NPPES record last updated: February 23, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kashyar Khodabakhsh M.d.p.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KASHYAR KHODABAKHSH M.D.P.C. (NPI 1164940490) is a healthcare organization registered as a neurology with special qualifications in child neurology in Great Neck, New York and active in the NPI registry since September 2017. The organization lists Rachel Mizrahi, Manager, as its authorized official.

NPPES Registry Identity

NPI1164940490

Entity TypeOrganization

Primary Taxonomy2084N0402X

Legal Business NameKASHYAR KHODABAKHSH M.D.P.C.

Location Address260 MIDDLE NECK RD APT 1EGreat Neck, NY 11021-1159

Mailing Address350 Northern Blvd Ste 300Great Neck, NY 11021-4809

Phone(516) 487-5044

Organization SubpartNo

Authorized OfficialRachel MizrahiManager · (516) 487-5044

Enumeration DateSeptember 7, 2017

Last NPPES UpdateFebruary 23, 2018

✔ NPI 1164940490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0402X

License✔ Licensed in NY · NYS258356

Definition

A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.

260 MIDDLE NECK RD APT 1E, Great Neck, NY 11021

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kashyar Khodabakhsh M.D.P.C.'s NPI number?

The NPI number for Kashyar Khodabakhsh M.D.P.C. is 1164940490. It was assigned to this organization in the NPPES registry on September 7, 2017.

Where is Kashyar Khodabakhsh M.D.P.C. located?

Kashyar Khodabakhsh M.D.P.C. is located at 260 Middle Neck Rd Apt 1E, Great Neck, NY 11021. The listed phone number is (516) 487-5044.

What is Kashyar Khodabakhsh M.D.P.C.'s specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.

When was this NPI record last updated?

The NPPES record for Kashyar Khodabakhsh M.D.P.C. was last updated on February 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.