Individual provider · Type 1 NPI

Tarek Khrisat, MD

Student in an Organized Health Care Education/Training Program · Bronx, NY

NPI number 1316568447 Active

Practice location

234 E 149th St Ste 620
Bronx, NY 10451-5504

Call (718) 579-5900 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1316568447

Tarek Khrisat, MD's National Provider Identifier is 1316568447, issued on Apr 29, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Bronx, NY. The record was last updated on Apr 29, 2020.