1. Home
  2. Directory
  3. New York
  4. Watertown
  5. Specialist
  6. NPI Profile

DR. KHALIL KARDOONI M.D.
NPI 1417043811
Specialist in Watertown, NY

Active since October 04, 2006
1571 WASHINGTON ST, SUITE 107, WATERTOWN, NY 13601(315) 782-7330(315) 782-5773 Get Directions Write a Review

NPPES record last updated: September 7, 2012. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Dr. Khalil Kardooni M.d. NPPES

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

DR. KHALIL KARDOONI M.D. (NPI 1417043811) is an individual specialist in Watertown, New York, licensed in New York (210462) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1417043811
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. KHALIL KARDOONICredential: M.D.
Location Address1571 WASHINGTON ST, SUITE 107Watertown, NY 13601-9319
Mailing Address1250 Ives StWatertown, NY 13601 · (315) 782-7330 · Fax (315) 782-5773
Phone(315) 782-7330
Fax(315) 782-5773
Sole ProprietorNo
Enumeration DateOctober 4, 2006
Last NPPES UpdateSeptember 7, 2012
✔ NPI 1417043811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 210462
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1571 WASHINGTON ST, Watertown, NY 13601
Open in Google Maps ↗

Other Identifiers 2

Medicaid01870699NY
Medicare UPING47963NY

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALLISON VESPA P.T.
Physical Therapist
1571 WASHINGTON ST, SUITE 201
WATERTOWN, NY 13601
Jefferson County (315) 782-1650
KAREN LOUISE FISH MPAS, PA-C
Physician Assistant (Surgical)
1571 WASHINGTON ST, SUITE 201
WATERTOWN, NY 13601
Jefferson County (315) 836-2167
DR. SUSANNE DAYE MD
Radiology (Diagnostic Radiology)
1571 WASHINGTON ST, SUITE 101
WATERTOWN, NY 13601
Jefferson County (315) 786-5046
DR. STEVEN B FISH M.D.
Orthopaedic Surgery
1571 WASHINGTON ST, SUITE 201
WATERTOWN, NY 13601
Jefferson County (315) 782-1650
DR. LEO J GOSSELIN JR. M.D.
Surgery
1571 WASHINGTON ST, SUITE 201
WATERTOWN, NY 13601
Jefferson County (315) 782-1650
DR. TODD D CLOPPER MD
Radiology (Vascular & Interventional Radiology)
1571 WASHINGTON ST
WATERTOWN, NY 13601
Jefferson County (315) 786-5000
DANIEL J WEBER MD
Radiology (Diagnostic Radiology)
1571 WASHINGTON ST, SUITE 101
WATERTOWN, NY 13601
Jefferson County (315) 786-5046
BARRATT MATTHEW SCHULTZ MPAS, PA-C
Physician Assistant
1571 WASHINGTON ST, SUITE 201
WATERTOWN, NY 13601
Jefferson County (315) 782-1650

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 Khalil Kardooni's NPI number?

The NPI number for Khalil Kardooni is 1417043811. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Where is Khalil Kardooni located?

Khalil Kardooni practices at 1571 Washington St Suite 107, Watertown, NY 13601. The listed phone number is (315) 782-7330.

What is Khalil Kardooni's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Khalil Kardooni was last updated on September 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.