Individual provider · Type 1 NPI

Gohar Khodadoost, DMD

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

NPI number 1992449987 Active

Practice location

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

Mailing address

8002 Trevor Pl
Vienna, VA 22182-4018

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 1992449987

Gohar Khodadoost, DMD's National Provider Identifier is 1992449987, issued on Apr 25, 2022. 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 25, 2022.