Individual provider · Type 1 NPI

Khanh Gia Ta, DO

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

NPI number 1336980747 Active

Practice location

355 Bard Ave Dept Of Medicine Villa Bldg 1st Floor
Staten Island, NY 10310

Call (718) 818-2419 Map

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 1336980747

Khanh Gia Ta, DO's National Provider Identifier is 1336980747, issued on Jun 3, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Staten Island, NY. The record was last updated on Jun 3, 2024.