MUSTAFA KEZAR KHOKHA


Address: 800 Howard Ave, Yale Physicians Bldg, New Haven, CT 06519-1369
Phone: 2037852140

MUSTAFA KEZAR KHOKHA (NPI# 1588604052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588604052
Entity Type Individual
Full Name MUSTAFA KEZAR KHOKHA
Credential MD
Practice Address 800 Howard Ave
Yale Physicians Bldg
New Haven
CT 06519-1369
Mailing Address 300 George St
Po Box 9805
New Haven
CT 06511-6624
Practice Telephone 2037852140
Practice Fax Number 2037856414
Mailing Telephone 2037857998
Mailing Fax Number 2037856414
Enumeration Date 2006-06-06
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0203X Pediatrics
Specialization: Pediatric Critical Care Medicine
044262 CT Allopathic & Osteopathic Physicians

Office Location

Street Address 800 HOWARD AVE
YALE PHYSICIANS BLDG
City NEW HAVEN
State CT
Zip Code 06519-1369

Providers in the same location

NPI Name Taxonomy Address Enumeration
1184621419 John P Fulkerson Orthopaedic Surgery 800 Howard Ave, New Haven, CT 06519-1369 2005-07-01
1467068163 Catherine Aileen Chagnon Physical Medicine & Rehabilitation 800 Howard Ave, New Haven, CT 06519-1369 2020-09-17
1508408915 Rebecca Lynne Tallarita Nurse Practitioner 800 Howard Ave, New Haven, CT 06519 2019-10-17
1598323610 Brianne Krawczyk Pharmacist 800 Howard Ave, Hvc Center-2nd Floor, New Haven, CT 06519 2019-06-04
1467017277 Gabriel B Lerner Student in an Organized Health Care Education/Training Program 800 Howard Ave, New Haven, CT 06519-1369 2019-05-07
1467915413 Sarah Elizabeth Savoia Physician Assistant 800 Howard Ave, New Haven, CT 06519-1369 2019-04-08
1992287577 Brittany Cyr Pharmacist 800 Howard Ave, New Haven, CT 06519-1369 2018-08-30
1700395506 Lauren Katherine Fagan Audiologist 800 Howard Ave, New Haven, CT 06519-1369 2017-09-25
1548784093 Megan Frank Harari Nurse Practitioner 800 Howard Ave, Ste 1st Floor, Room 133, New Haven, CT 06519 2017-07-26
1942723168 Jamie B Freeman Physician Assistant 800 Howard Ave, Yale Neurosurgery, New Haven, CT 06519-1369 2017-07-19
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255819348 Jordan Ficocelli Nurse Practitioner 800 Howard Ave # 2, New Haven, CT 06519 2018-08-01
1780123414 Claire Louise Hardin General Acute Care Hospital 95 Howard Ave, New Haven, CT 06519 2017-02-14
1467809137 Ana Laura Vives-rodriguez Student in an Organized Health Care Education/Training Program 800 Howard Avenue, Lower Level, Yale Physicians Building, New Haven, CT 06519 2016-05-23
1346607785 Amanda Kayte Corcoran Advanced Practice Midwife 40 Prince St., Suite 207, New Haven, CT 06519 2016-01-15
1720491905 Sara Harcharik Perkins Dermatology 2 Church St S Ste 305, New Haven, CT 06519 2014-06-05
1194136713 Krishan Ratilal Jethwa Radiology 35 Park St Ste Ll507, New Haven, CT 06519 2014-05-16
1235549353 Brandon Michael Kitay Psychiatry & Neurology 184 Liberty St # Lv108, New Haven, CT 06519 2014-04-28
1649526617 Yale New Haven Hospital Student in an Organized Health Care Education/Training Program 330 Cedar St Fmb 107, Yale New Haven Hospital, Dept of Surgery, New Haven, CT 06519 2012-07-27
1669736765 Mayanka Tickoo Internal Medicine 300 Cedar St Fl 4, New Haven, CT 06519 2012-07-03
1730441627 Judith A Ross Physical Therapist 18 Tower Lane, Tower One Tower East, New Haven, CT 06519 2012-06-15
Find all providers in zip 06519

Taxonomy Information

Taxonomy Code 2080P0203X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Critical Care Medicine

Taxonomy Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics)

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477088235 Marie Nader Pediatrics 20 York St, New Haven, CT 06510-3220 2017-04-28
1821338377 Samira Neshat Vahid Pediatrics 20 York St, Tompkins 209, New Haven, CT 06510-3220 2013-02-20
1093073959 Nina N. Brodsky Pediatrics 20 York St, Ynhh Department of Pediatrics, New Haven, CT 06510-3220 2012-04-30
1306116389 Jose Manuel Panisello Pediatrics 20 York St, 305 Lci, New Haven, CT 06510-3220 2012-01-06
1538397450 Engin Deniz Pediatrics 20 York St, T-209 Yale New Haven Hospital, New Haven, CT 06510-3220 2009-06-30
1700029238 Michael Clinton Hooper Pediatrics 333 Cedar St, New Haven, CT 06510-3206 2009-04-14
1407867096 Troy E Dominguez Pediatrics 15 York St, New Haven, CT 06510-3221 2006-08-10
1487609756 Stephanie Sudikoff Pediatrics 333 Cedar St, Pediatrics/yale University, New Haven, CT 06510-3206 2006-05-24
1407810831 John Sebastian Giuliano Jr. Pediatrics 20 York St, Pediatric Critical Care, New Haven, CT 06520 2006-04-13
1316907991 George Lister Jr. Pediatrics 333 Cedar St, New Haven, CT 06510-3206 2006-03-27
Find all providers in NEW HAVEN

Competitor

Search similar providers

City NEW HAVEN
Zip Code 06519

Improve Information

Please comment or provide details below to improve the information on MUSTAFA KEZAR KHOKHA.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches