Individual provider · Type 1 NPI

Ida Azizkhanian, MD

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

NPI number 1972122414 Active

Practice location

100 Woods Rd
Valhalla, NY 10595-1530

Call (914) 493-7614 Map

Mailing address

1247 Pine Shadow Ln
Concord, CA 94521-4800

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 1972122414

Ida Azizkhanian, MD's National Provider Identifier is 1972122414, issued on Apr 14, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Valhalla, NY. The record was last updated on Apr 14, 2020.