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

Mariam Khandaker

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1104289545

Mariam Khandaker is an Interventional Cardiology in Miami, Florida. Qualified in 2012, 14 years ago. Practices with Icahn School of Medicine at Mount Sinai, a 2,791-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
14
Licensed in
NY
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

1611 NW 12th Ave
Miami, FL 33136-1005
Phone: (305) 585-1111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X · Licence 325133 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1104289545
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 2, 2016
Last updated in NPPESJuly 27, 2023
Certification dateJuly 27, 2023

Medicare enrollment

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

Medicare specialtyINTERVENTIONAL CARDIOLOGY
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Icahn School Of Medicine At Mount Sinai — 2791 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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