Individual provider · Type 1 NPI

Jonathan Khersonsky, MD

Student in an Organized Health Care Education/Training Program · Emeryville, CA

NPI number 1891007456 Active

Practice location

6363 Christie Ave Apt 614
Emeryville, CA 94608-1917

Call (510) 437-4902 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 1891007456

Jonathan Khersonsky, MD's National Provider Identifier is 1891007456, issued on Jul 11, 2010. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Emeryville, CA. The record was last updated on Feb 11, 2022.