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DR. GOTTFRIED RAFFAEL VON KEUDELL MD PHD NPI 1235368168


NPI Information

NPI: 1235368168
Provider Name: DR. GOTTFRIED RAFFAEL VON KEUDELL, MD, PHD
Classification: Internal Medicine - 207RH0003X
Entity Type: Individual

Specialization: Hematology & Oncology

Organization: MSK HARRISON

PECOS Registration: Yes

Address:
1275 YORK AVE # 330
NEW YORK, NY
ZIP 10065
Phone: (203) 544-2553
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DR. Gottfried Raffael Von Keudell, MD, PHD is a hematology and oncology internal medicine in New York, NY with 16 years of experience. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. DR. Gottfried Raffael Von Keudell, MD, PHD NPI is 1235368168. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1275 YORK AVE # 330
NEW YORK, NY
ZIP 10065-007
Phone: (203) 544-2553

The NPI 1235368168 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/13/2009 and was last updated on 3/28/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal Medicine241741MASSACHUSETTSNo
2207RH0000XInternal MedicineHematology241741ILLINOISNo
3207RH0003XInternal MedicineHematology & Oncology293945-1NEW YORKYes
4207RX0202XInternal MedicineMedical Oncology241741ILLINOISNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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