Individual provider · Type 1 NPI

Chanel Johnson, MD, MBA

Student in an Organized Health Care Education/Training Program · Bronx, NY

NPI number 1093608531 Active

Practice location

234 E 149th St
Bronx, NY 10451-5504

Call (718) 579-5784 Map

Mailing address

1214 5th Ave Apt 29A
New York, NY 10029-5246

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

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 1093608531

Chanel Johnson, MD, MBA's National Provider Identifier is 1093608531, issued on Jun 2, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Bronx, NY. The record was last updated on Jun 2, 2025.