Individual
DR. NISHAN CHOBANIAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
607 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8222
(314) 251-4260
Mailing address
22301 FOSTER WINTER DR, SOUTHFIELD, MI 48075-3707
(248) 849-8140
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
4301110735
MI
Other
Enumeration date
09/30/2005
Last updated
01/03/2019
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