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Individual
DR. JONATHAN J KHODADADIAN
Active
Individual
DR. JONATHAN J KHODADADIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207UN0902X
Nuclear Imaging & Therapy Physician
Primary
265565
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Enumeration date
08/30/2011
Last updated
07/11/2012
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