Dr. Nishan Chobanian Jr., MD
Obstetrics & Gynecology, Gynecologic Oncology in Saint Louis, MO. Individual provider (NPI-1).
NPI number1104813633
StatusActive
Last updated in NPPESJan 3, 2019
Details
- NPI
- 1104813633
- Entity type
- Individual (NPI-1)
- Name
- Dr. Nishan Chobanian Jr.
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 30, 2005
- Last updated
- Jan 3, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - GYNECOLOGICAL ONCOLOGY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207VX0201X | Obstetrics & Gynecology, Gynecologic Oncology | 4301110735 | MI | Yes |
Practice location
607 S New Ballas RdSaint Louis, MO 63141-8222
Phone 314-251-4260
Mailing address
22301 Foster Winter DrSouthfield, MI 48075-3707
Phone 248-849-8140
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