Individual provider · Type 1 NPI

Nishan Chobanian Jr., MD

Gynecologic Oncology Physician · St. Louis, MO

NPI number 1104813633 Active

Practice location

607 S New Ballas Rd
St. Louis, MO 63141-8222

Mailing address

22301 Foster Winter Dr
Southfield, MI 48075-3707

Specialties and licenses

TaxonomyCodeLicense
Gynecologic Oncology Physician Primary 207VX0201X4301110735 (MI)

Gynecologic Oncology Physician: An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.

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About NPI 1104813633

Nishan Chobanian Jr., MD's National Provider Identifier is 1104813633, issued on Sep 30, 2005. The primary taxonomy on file is Gynecologic Oncology Physician (207VX0201X), and the practice location is in St. Louis, MO. The record was last updated on Jan 3, 2019.