Individual
SHUSHAN VERANYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1901 1ST AVE, NEW YORK, NY 10029-7404
(212) 423-6262
Mailing address
1901 1ST AVE DEPT OF, NEW YORK, NY 10029-7404
(212) 423-6262
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A166516
CA
208M00000X
Hospitalist Physician
Primary
A166516
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/18/2017
Last updated
05/27/2020
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