Individual provider · Type 1 NPI

Thor Shiva Stead, MD

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

NPI number 1477348019 Active

Practice location

525 E 68th St
New York, NY 10065-4870

Call (212) 746-1887 Map

Mailing address

903 Providence Pl Apt 114
Providence, RI 02903-7001

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 1477348019

Thor Shiva Stead, MD's National Provider Identifier is 1477348019, issued on Apr 14, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in New York, NY. The record was last updated on Apr 14, 2025.