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

Jannika Dodge Khatami, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1366845307

Jannika Dodge Khatami, MD is a Student in an Organized Health Care Education/Training Program in Bay Shore, New York. Practices as a sole proprietor and works from 3 locations. Licensed in New York.

Licensed in
NY
In the registry since
2014
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

376 E Main St Ste 102
Bay Shore, NY 11706-8441
Phone: (631) 539-5400
Show map & directions

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

Additional practice locations (2)

  • 2500 N State St, Jackson, MS 39216-4500 — (601) 815-2005
  • 6410 Fannin St Ste 500, Houston, TX 77030-3005 — (832) 325-6516

Specialties & licences

Pediatric Cardiology Physician (primary) Taxonomy 2080P0202X · Licence 292026 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1366845307
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedOctober 5, 2014
Last updated in NPPESFebruary 25, 2021
Certification dateFebruary 5, 2021

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