Individual provider · Type 1 NPI

Tirajeh Zohourian, MD

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

NPI number 1477059418 Active

Practice location

101 Nicholls Road Hsc 19-030
Stony Brook, NY 11794

Call (631) 444-8020 Map

Fax (631) 444-7689

Mailing address

101 Nicolls Rd
Stony Brook, NY 11794-0001

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 1477059418

Tirajeh Zohourian, MD's National Provider Identifier is 1477059418, issued on Mar 30, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Stony Brook, NY. The record was last updated on Jun 17, 2018.