Doctor profile · Federal record
Dr. Gregg Khodorov, MD, MBA
Student in an Organized Health Care Education/Training Program · Philadelphia, PA
- NPI 1518586536
- 6 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1015 Walnut St Ste 620
Philadelphia, PA 191075005
(215) 955-6864
fax (215) 955-2878 - Mailing address
-
60 Paterson St Apt 803
New Brunswick, NJ 089012142
Credentials & registration
- NPI registered
- April 2020 — 6 yrs on file
- Specialty taxonomy
- 390200000X — NUCC code
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1518586536. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$717
Transactions
9
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Inari Medical, Inc. | 8 | $642.53 | |
| Boston Scientific Corporation | 1 | $74.05 |
By nature of payment
Frequently asked questions
What is Dr. Gregg Khodorov's medical specialty?
Dr. Gregg Khodorov practices Student in an Organized Health Care Education/Training Program in Philadelphia, PA.
Where does Dr. Gregg Khodorov practice?
Dr. Gregg Khodorov practices at 1015 Walnut St Ste 620, Philadelphia, PA 191075005. Office phone: 2159556864.
What is Dr. Gregg Khodorov's NPI?
Dr. Gregg Khodorov's National Provider Identifier (NPI) is 1518586536, issued by NPPES.