ILYA KHAYTIN (NPI# 1326369851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326369851 |
| Entity Type | Individual |
| Full Name | ILYA KHAYTIN |
| Credential | M.D., PH.D. |
| Practice Address |
34st and Civic Center Chop Philadelphia PA 19104 |
| Mailing Address |
225 E Chicago Ave Box 43 Chicago IL 60611 |
| Practice Telephone | 2676717347 |
| Mailing Telephone | 3122276472 |
| Enumeration Date | 2010-06-18 |
| Last Update Date | 2018-11-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
036.147530 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
34ST AND CIVIC CENTER CHOP |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770829 | Michelle Morris | Student in an Organized Health Care Education/Training Program | Dept. of Family Medicine & Community Health, 3737 Market, Philadelphia, PA 19104 | 2020-11-04 |
| 1346853041 | Spectrum Health Services, Inc. | Clinic/Center | 1415 South University Ave, Philadelphia, PA 19104 | 2020-08-24 |
| 1770104259 | Fatimah Sorefan-mangou | Student in an Organized Health Care Education/Training Program | 4 Maloney 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
| 1114548690 | Rebecca Blaguski | Registered Nurse | The Hospital of The University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
| 1952944175 | Rebecca Miriam Barmherzig | Psychiatry & Neurology | 3501 Civic Centre Blvd, 10th Flr Ctrb, Neurology, Philadelphia, PA 19104 | 2019-10-21 |
| 1891257101 | James Paul Byrne | Surgery | Penn Presbyterian Medical Center, Division of Trauma, S, 51 N. 39th Street, Suite 120, 1st Floor Medical Office, Philadelphia, PA 19104 | 2019-04-04 |
| 1093276453 | Lauren Shreve | Student in an Organized Health Care Education/Training Program | Department of Surgery, Surgery Education - Penn Health, 3400 Spruce Street, 4 Maloney, Philadelphia, PA 19104 | 2019-03-28 |
| 1285194282 | Lauren M Christie | Student in an Organized Health Care Education/Training Program | Penn Presbyterian Medical Center, 51 N. 39th Street, Philadelphia, PA 19104 | 2019-03-25 |
| 1114487683 | Sabrina Layne | Student in an Organized Health Care Education/Training Program | 3400 Spruce Street, 100 Centrex, Philadelphia, PA 19104 | 2019-03-21 |
| 1811457310 | Kia Lor | Student in an Organized Health Care Education/Training Program | Hospital of University of Pennsylvania, 3400 Spruce St., Philadelphia, PA 19104 | 2019-03-21 |
| Find all providers in zip 19104 | ||||
| Taxonomy Code | 2084N0402X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology with Special Qualifications in Child Neurology |
| A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952944175 | Rebecca Miriam Barmherzig | Psychiatry & Neurology | 3501 Civic Centre Blvd, 10th Flr Ctrb, Neurology, Philadelphia, PA 19104 | 2019-10-21 |
| 1548554082 | Sonika Agarwal | Psychiatry & Neurology | Buerger Center, 3500 Civic Center Blvd., Philadelphia, PA 19104 | 2011-06-01 |
| 1477626141 | Agustin Legido | Psychiatry & Neurology | Erie Aenue, Front Street, Philadelphia, PA 19134 | 2006-11-17 |
| 1780621466 | Harold Huntley Hardison | Psychiatry & Neurology | St. Christopher's Pediatric Neurology, 3601 A Street, Philadelphia, PA 19134-1095 | 2006-06-01 |
| 1306490040 | Gillian Rae Paton | Psychiatry & Neurology | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2019-07-31 |
| 1992234611 | Usha Appalaneni | Psychiatry & Neurology | 3401 Civic Center Blvd, Division of Neurology, Philadelphia, PA 19104-4319 | 2017-06-06 |
| 1174910558 | Sonal Sharma | Psychiatry & Neurology | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2015-04-23 |
| 1538553193 | Amanda Guadalupe Sandoval Karamian | Psychiatry & Neurology | 3401 Civic Center Blvd, Division of Pediatric Epilepsy, Philadelphia, PA 19104-4319 | 2015-03-22 |
| 1215321864 | Caren Marr Armstrong | Psychiatry & Neurology | 3401 Civic Center Blvd, Division of (pediatric Epilepsy), Philadelphia, PA 19104 | 2015-03-21 |
| 1558708800 | Ernesto Gonzalez-giraldo | Psychiatry & Neurology | 3401 Civic Center Blvd, Division of Pediatric Neurology, Philadelphia, PW 19104 | 2013-05-28 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19104 |
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| 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.