Individual provider · Type 1 NPI

Kengo Zaven Soghoyan, MD

Student in an Organized Health Care Education/Training Program · Evansville, IN

NPI number 1225664253 Active

Practice location

3700 Washington Ave
Evansville, IN 47714-0541

Mailing address

1087 Beaumont Dr
San Jose, CA 95129-3202

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 1225664253

Kengo Zaven Soghoyan, MD's National Provider Identifier is 1225664253, issued on Mar 21, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Evansville, IN. The record was last updated on Mar 21, 2020.