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

Individual provider Medical Physician Assistant · NPI 1689925091

Rakhilya Kholdarova, PA is a Medical Physician Assistant in Jackson Heights, New York. Licensed in New York. Registered with an NPI since 2012.

Licensed in
NY
In the registry since
2012
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

3757 91st St
Jackson Heights, NY 11372-7901
Phone: (718) 779-7697
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 015962 (NY)

Record details

NPI number1689925091
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 25, 2012
Last updated in NPPESOctober 15, 2012

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