Individual provider · Type 1 NPI

Kian Pourak

Student in an Organized Health Care Education/Training Program · St. Louis, MO

NPI number 1053011676 Active

Practice location

1 Barnes Jew Hosp Plz
St. Louis, MO 63110-1003

Call (314) 362-7388 Map

Mailing address

4921 Parkview Pl # 6G
St. Louis, MO 63110-1032

Other practice locations

  • 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 · (734) 936-4000

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X2024018873 (MO)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1053011676

Kian Pourak's National Provider Identifier is 1053011676, issued on Mar 3, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in St. Louis, MO. The record was last updated on Jun 14, 2024.