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

Individual provider Urology Physician · NPI 1073607727

Levan Khasidy, MD is an Urology in Forest Hills, New York. Qualified in 1972, 54 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in New York.

Years since qualifying
54
Licensed in
NY
In the registry since
2006
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

11115 Queens Blvd 2nd Fl
Forest Hills, NY 11375-7422
Phone: (718) 520-2300
Fax: (718) 520-4440
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 160993 (NY)

Record details

NPI number1073607727
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedOctober 3, 2006
Last updated in NPPESJuly 14, 2008
Mailing address111-15 Queens Blvd, 2nd Fl, Forest Hills, NY 11375-7422

Medicare enrollment

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

Medicare specialtyUROLOGY
Medical schoolOTHER
Graduated 1972 (54 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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