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

Mr. Aleksan Khachatryan, MD

Individual provider Vascular Specialist/Technologist Cardiovascular · NPI 1912523036

Mr. Aleksan Khachatryan, MD is an Internal Medicine in New York, New York. Qualified in 2011, 15 years ago. Practices with Southeastern Physician Services PC, a 598-clinician group and accepts Medicare assignment. Licensed in Kentucky and New York.

Years since qualifying
15
Licensed in
KY, NY
In the registry since
2020
Specialties on file
4
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

1 Gustave L Levy Pl
New York, NY 10029-6504
Phone: (212) 241-6500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Specialist/Technologist Cardiovascular (primary) Taxonomy 246XC2903X (NY)
Hospitalist Physician Taxonomy 208M00000X · Licence 60657 (KY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Internal Medicine Physician Taxonomy 207R00000X · Licence 60657 (KY)

Record details

NPI number1912523036
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 24, 2020
Last updated in NPPESJune 9, 2026
Certification dateJune 9, 2026

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Southeastern Physician Services Pc — 598 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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