OLEG ISKHAKOV PHYSICIAN ASSISTANT NPI 1720222110

NPI Information

NPI: 1720222110
Provider Name: OLEG ISKHAKOV, PHYSICIAN ASSISTANT
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Organization: NEW YORK QUEENS MEDICINE AND SURGERY, P.C.

PECOS Registration: Yes

Address:
5645 MAIN ST
FLUSHING, NY
ZIP 11355
Phone: (718) 670-1831
Get Directions

Oleg Iskhakov, PHYSICIAN ASSISTANT is a surgical physician assistant in Flushing, NY with 16 years of experience. Oleg Iskhakov, PHYSICIAN ASSISTANT NPI is 1720222110. 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:

5645 MAIN ST
FLUSHING, NY
ZIP 11355-045
Phone: (718) 670-1831

The NPI 1720222110 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 4/29/2009 and was last updated on 3/11/2010.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	012876	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	G400003123	MEDICARE PIN	NEW YORK

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

NPI Synchronization or Removal

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