Individual provider · Type 1 NPI

Sebastian Hassan John Koochaki, MD, PhD

Student in an Organized Health Care Education/Training Program · Boston, MA

NPI number 1609525518 Active

Practice location

75 Francis St
Boston, MA 02115-6106

Mailing address

6201 Greenleigh Ave
Middle River, MD 21220-2004

Other practice locations

  • 1800 Orleans St, Baltimore, MD 21287-0010 · (410) 502-2037

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 1609525518

Sebastian Hassan John Koochaki, MD, PhD's National Provider Identifier is 1609525518, issued on Mar 20, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Boston, MA. The record was last updated on May 18, 2025.