MICHAEL KHADAVI MD
NPI 1982612883
Pediatrics in Great Neck, NY

Active since August 04, 2006
935 NORTHERN BLVD, STE 104, GREAT NECK, NY 11021(516) 487-0155(516) 487-8390 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michael Khadavi Md NPPES

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

MICHAEL KHADAVI MD (NPI 1982612883) is an individual pediatrics provider in Great Neck, New York, licensed in New York (111343) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1982612883
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameMICHAEL KHADAVICredential: MD
Location Address935 NORTHERN BLVD, STE 104Great Neck, NY 11021
Mailing Address935 Northern Blvd, Ste 104Great Neck, NY 11021 · (516) 487-0155 · Fax (516) 487-8390
Fax(516) 487-8390
Sole ProprietorNo
Enumeration DateAugust 4, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1982612883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in NY · 111343
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
935 NORTHERN BLVD, Great Neck, NY 11021

Other Identifiers 1

Medicare UPINB80014

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.

Ophthalmology
935 NORTHERN BLVD, SUITE 204
GREAT NECK, NY 11021
Psychologist (Clinical)
935 NORTHERN BLVD, SUITE 102
GREAT NECK, NY 11021
Physician Assistant (Medical)
935 NORTHERN BLVD
GREAT NECK, NY 11021
Radiology (Diagnostic Radiology)
935 NORTHERN BLVD, SUITE 200
GREAT NECK, NY 11021
Obstetrics & Gynecology
935 NORTHERN BLVD, SUITE 105
GREAT NECK, NY 11021
Physician Assistant
935 NORTHERN BLVD, SUITE 300
GREAT NECK, NY 11021
Psychologist (Clinical)
935 NORTHERN BLVD, SUITE 102
GREAT NECK, NY 11021
Clinic/Center (Ambulatory Surgical)
935 NORTHERN BLVD, SUITE 302
GREAT NECK, NY 11021

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 Michael Khadavi's NPI number?

The NPI number for Michael Khadavi is 1982612883. It was assigned to this individual provider in the NPPES registry on August 4, 2006.

Where is Michael Khadavi located?

Michael Khadavi practices at 935 Northern Blvd Ste 104, Great Neck, NY 11021. The listed phone number is (516) 487-0155.

What is Michael Khadavi's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Michael Khadavi was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.