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

Shamir Khaitov

Individual provider Registered Nurse · NPI 1710835640

Shamir Khaitov is a Registered Nurse in Brooklyn, New York. Licensed in New Jersey and New York. Registered with an NPI since 2026.

Licensed in
NJ, NY
In the registry since
2026
Specialties on file
2
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Practice location Address checks out

1914 Bay Ave Apt 2B
Brooklyn, NY 11230-6212
Phone: (718) 844-9454
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 777765-01 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 26NR24855100 (NJ)

Record details

NPI number1710835640
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 17, 2026
Last updated in NPPESMarch 17, 2026
Certification dateMarch 17, 2026

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