Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. OTAKHON MATCHANOV, MD
Active Sole ProprietorDR. OTAKHON MATCHANOV, MD is a Clinical Neurophysiology healthcare provider located in NEW YORK, New York. NPI 1578158333 is currently active in the NPPES registry. Verify at CMS.
Clinical Neurophysiology · NEW YORK, NY
Registration Details
- NPI Number
- 1578158333
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 3, 2021 (5.4791612298146 yrs)
- Last Updated
- Jan 13, 2026
- License
-
338571-01 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
100 E 77TH STNEW YORK, NY, 100751850Browse NY providers · Browse ZIP 10075
- Phone
- 2124346400
- Primary Specialty
-
Clinical Neurophysiology
2084N0600X
Other Clinical Neurophysiology Providers in NEW YORK, NY
| Name | Credential | NPI |
|---|---|---|
| ANDREI CARASCA | MD | 1992703391 |
| ALEKSANDAR BERIC | MD | 1235104191 |
| DR. ALCIBIADES J. RODRIGUEZ | MD | 1831151281 |
| DR. SAMUEL RAPOPORT | M.D. | 1285696310 |
| JENNIFER LYNN WOEHR | PSY.D. | 1013967983 |
| KIRIL KIPROVSKI | MD | 1467405399 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.