Provider Demographics
NPI:1538950050
Name:KHADOO, NICK (MBBS)
Entity type:Individual
Prefix:MR
First Name:NICK
Middle Name:
Last Name:KHADOO
Suffix:
Gender:M
Credentials:MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:SUNY DOWNSTATE MEDICAL CENTER
Mailing Address - Street 2:450 CLARKSON AVENUE-BOX 49 MSC 50
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11203
Mailing Address - Country:US
Mailing Address - Phone:718-270-2353
Mailing Address - Fax:718-270-7426
Practice Address - Street 1:SUNY DOWNSTATE MEDICAL CENTER
Practice Address - Street 2:450 CLARKSON AVENUE-BOX 49 MSC 50
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11203
Practice Address - Country:US
Practice Address - Phone:718-270-2353
Practice Address - Fax:718-270-7426
Is Sole Proprietor?:No
Enumeration Date:2025-05-14
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program