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

Individual provider Psychiatry Physician · NPI 1609851195

Vitaliy Khaldarov, MD is a Psychiatry in Flushing, New York. Qualified in 1987, 39 years ago. Practices with Garden Medical Consulting PLLC, a 2-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
39
Licensed in
NY
In the registry since
2005
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

19615 75th Ave
Flushing, NY 11366-1813
Phone: (917) 816-4597
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 218084 (NY)

Record details

NPI number1609851195
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedDecember 7, 2005
Last updated in NPPESMay 27, 2010

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 1987 (39 years in practice)
Group practice Garden Medical Consulting Pllc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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