EVELINA KHALILOVA (NPI# 1841829132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841829132 |
| Entity Type | Individual |
| Full Name | EVELINA KHALILOVA |
| Credential | MD |
| Practice Address |
355 Bard Ave Staten Island NY 10310-1664 |
| Mailing Address |
355 Bard Ave Dept Of Staten Island NY 10310-1699 |
| Practice Telephone | 7188182419 |
| Mailing Telephone | 7188182419 |
| Enumeration Date | 2020-04-07 |
| Last Update Date | 2020-04-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
355 BARD AVE |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10310-1664 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801875489 | John Louis Ferguson | Anesthesiology | 355 Bard Ave, Staten Island, NY 10310 | 2006-01-12 |
| 1427657824 | Ahmad Jamal Hashmat | Specialist/Technologist, Other | 355 Bard Ave, Staten Island, NY 10310-1664 | 2020-10-19 |
| 1437776572 | Mino M. Abdelmessih | Podiatrist | 355 Bard Ave, Staten Island, NY 10310-1699 | 2020-07-05 |
| 1639796774 | Mohamad M Anwar | Podiatrist | 355 Bard Ave, Staten Island, NY 10310-1699 | 2020-07-05 |
| 1689299331 | Richmond Medical Center | Ambulance | 355 Bard Ave, Staten Island, NY 10310-1664 | 2020-06-09 |
| 1750903357 | Natascha Cirignani | Student in an Organized Health Care Education/Training Program | 355 Bard Ave, Staten Island, NY 10310-1664 | 2020-05-18 |
| 1881215309 | Calli Alexandra Carnavas | Physician Assistant | 355 Bard Ave, Staten Island, NY 10310-1664 | 2020-05-06 |
| 1154941516 | Bryan Christopher Nugent | Student in an Organized Health Care Education/Training Program | 355 Bard Ave, Staten Island, NY 10310-1699 | 2020-04-25 |
| 1053931717 | Eduardo Cadore Guzzo | Student in an Organized Health Care Education/Training Program | 355 Bard Ave, Rumc - Department of Medicine, Villa Bldg 1st Floor, Staten Island, NY 10310 | 2020-04-23 |
| 1679192322 | Burhan Riaz | Student in an Organized Health Care Education/Training Program | 355 Bard Ave, Staten Island, NY 10310-1664 | 2020-04-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710506027 | Sini Bijoy | Student in an Organized Health Care Education/Training Program | 355 Bard Ave Dept of Medicine Villa Bldg 1st Floor, Staten Island, NY 10310 | 2020-04-16 |
| 1497374243 | Isabelle Mulango | Student in an Organized Health Care Education/Training Program | 355 Bard Ave Dep't of Medicine Villa Bldg 1st Floor, Staten Island, NY 10310 | 2020-04-12 |
| 1174152839 | Yvonne Hanna | Student in an Organized Health Care Education/Training Program | 355 Bard Ave Depatment of Medicine, Villa Bldg 1st Floor, Staten Island, NY 10310 | 2020-04-05 |
| 1588293591 | Muhammad Shaheryar Haider | Student in an Organized Health Care Education/Training Program | 355 Bard Ave Dept of Medicine, Villa Bldg 1st Floor, Staten Island, NY 10310 | 2020-04-02 |
| 1427602846 | Mc Queen and Otuyelu Lcsw Wellness | Social Worker | 941 Forest Avenue, Staten Island, NY 10310 | 2019-07-25 |
| 1780240333 | Zeinab Mohammed Kaleemullah | Student in an Organized Health Care Education/Training Program | 355 Bard Avenue Department of Psychiatry, Staten Island, NY 10310 | 2019-05-18 |
| 1164086229 | Francine Fane Foo | Student in an Organized Health Care Education/Training Program | 355 Bard Ave., Depart of Medicine Villa Bldg 1st Floor, Staten Island, NY 10310 | 2019-04-24 |
| 1528621893 | Francis Njukeng Atemnkeng | Student in an Organized Health Care Education/Training Program | 355 Bard Ave Dept of Medicine Villa Bldg, 1st Floor, Staten Island, NY 10310 | 2019-04-22 |
| 1467015966 | Anum Humayun | Student in an Organized Health Care Education/Training Program | 355 Bard Ave. Dept of Medicine Villa Bldg 1st Floor, Staten Island, NY 10310 | 2019-04-19 |
| 1760951842 | Syed M Faizaan Zabiullah | Student in an Organized Health Care Education/Training Program | 355 Bard Avenue, Department of Medicine, Villa Building, 1st Floor,staten Island, New York, NY 10310 | 2018-11-18 |
| Find all providers in zip 10310 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | 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. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104448489 | Nicholas Ruggiero | Student in an Organized Health Care Education/Training Program | 136 Brook Ave, Staten Island, NY 10306-4420 | 2020-05-10 |
| 1740802024 | Matthew Mathai | Student in an Organized Health Care Education/Training Program | 242 Livingston Ave, Staten Island, NY 10314-6932 | 2020-05-10 |
| 1710506027 | Sini Bijoy | Student in an Organized Health Care Education/Training Program | 355 Bard Ave Dept of Medicine Villa Bldg 1st Floor, Staten Island, NY 10310 | 2020-04-16 |
| 1497374243 | Isabelle Mulango | Student in an Organized Health Care Education/Training Program | 355 Bard Ave Dep't of Medicine Villa Bldg 1st Floor, Staten Island, NY 10310 | 2020-04-12 |
| 1497374680 | Bachar Botrus | Student in an Organized Health Care Education/Training Program | 355 Bard Ave Department of Medicine Villa Bldg 1st Fl, Staten Island, NY 10310-1664 | 2020-04-08 |
| 1174152839 | Yvonne Hanna | Student in an Organized Health Care Education/Training Program | 355 Bard Ave Depatment of Medicine, Villa Bldg 1st Floor, Staten Island, NY 10310 | 2020-04-05 |
| 1588293591 | Muhammad Shaheryar Haider | Student in an Organized Health Care Education/Training Program | 355 Bard Ave Dept of Medicine, Villa Bldg 1st Floor, Staten Island, NY 10310 | 2020-04-02 |
| 1053950352 | Victoria Lamberti | Student in an Organized Health Care Education/Training Program | 469 Lamont Ave, Staten Island, NY 10312-2817 | 2020-01-03 |
| 1376181412 | Rayutte Blazer | Student in an Organized Health Care Education/Training Program | 146 Rupert Ave, Staten Island, NY 10314-5051 | 2019-12-19 |
| 1457999070 | Sara I Genova | Student in an Organized Health Care Education/Training Program | 670 Manor Rd, Staten Island, NY 10314-4525 | 2019-12-13 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10310 |
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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.