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Dr. Jonathan J Khodadadian, MD
Student in an Organized Health Care Education/Training Program in Lindenhurst, New York
NPI 1275814618

Jonathan J Khodadadian is a Student in an Organized Health Care Education/Training Program based in Lindenhurst, NY. Jonathan J Khodadadian practices in Lindenhurst, NY and has the professional credentials of MD. The NPI Number for Jonathan J Khodadadian is 1275814618 and holds a License No. 265565 (New York).

The current practice location address for Jonathan J Khodadadian is 150 E Sunrise Hwy, Lindenhurst, NY and can be reached out via phone at 631-225-7200 and via fax at 631-930-9451.

Location: 150 E Sunrise Hwy, Lindenhurst, NY, 11757-2539
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275814618
Provider Name
Jonathan J Khodadadian
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
150 E Sunrise Hwy, Lindenhurst, NY, 11757-2539
Phone Number
631-225-7200
Fax Number
631-930-9451
Provider Enumeration Date
08/30/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
150 E Sunrise Hwy
City
Lindenhurst
State
New York
Zip
11757-2539
Phone Number
631-225-7200
Fax Number
631-930-9451
person
Provider Business Mailing Address Details
Address
150 E Sunrise Hwy
City
Lindenhurst
State
New York
Zip
11757-2539
Phone Number
631-225-7200
Fax Number
631-930-9451
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Nuclear Medicine
Speciality
Nuclear Imaging & Therapy
Taxonomy
207UN0902X
License No.
()
Definition
A nuclear medicine physician who specializes in nuclear imaging and therapy.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
265565 (New York)
Definition
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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