NPI Index

DR. KHANH TA, DO

Student in an Organized Health Care Education/Training Program

Active Individual
NPI: 1336980747

Practice Address

355 BARD AVE DEPT OF MEDICINE VILLA BLDG 1ST FLOOR
Staten Island, NY 10310

Phone: (718) 818-2419

Specialties

Specialty Code Primary License
Student in an Organized Health Care Education/Training Program 390200000X Yes -

Frequently Asked Questions

NPI 1336980747 is the National Provider Identifier for DR. KHANH TA, DO, a Student in an Organized Health Care Education/Training Program provider located in Staten Island, NY. This NPI was enumerated on June 3, 2024.
DR. KHANH TA, DO practices at 355 BARD AVE DEPT OF MEDICINE VILLA BLDG 1ST FLOOR, Staten Island, NY 10310.

Quick Facts

NPI
1336980747
Type
Individual
Enumerated
Jun 3, 2024
Last Updated
Jun 3, 2024

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