Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Dmitry Khaitov, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1720249048

Dr. Dmitry Khaitov, MD is a Neurology in Allentown, Pennsylvania. Qualified in 1995, 31 years ago. Practices with Lehigh Valley Physician Group, a 2,493-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
31
Licensed in
PA
In the registry since
2008
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1250 S Cedar Crest Blvd Ste 405
Allentown, PA 18103-6224
Phone: (610) 402-8420
Fax: (610) 402-1689
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence MD448683 (PA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1720249048
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 19, 2008
Last updated in NPPESJanuary 8, 2016
Mailing addressPo Box 783311, Philadelphia, PA 19178-3311

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEUROLOGY
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice Lehigh Valley Physician Group — 2493 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations11 on file with Medicare

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