Jonathan Shakibkhou, MD
Student in an Organized Health Care Education/Training Program in Flushing, NY. Individual provider (NPI-1).
NPI number1801649751
StatusActive
Last updated in NPPESApr 11, 2024
Details
- NPI
- 1801649751
- Entity type
- Individual (NPI-1)
- Name
- Jonathan Shakibkhou
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 10, 2024
- Certification date
- Apr 11, 2024
- Last updated
- Apr 11, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
5645 Main StFlushing, NY 11355-5045
Phone 718-445-0220
Mailing address
5645 Main StFlushing, NY 11355-5045
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