Provider Demographics
NPI:1548962566
Name:GHAZARYAN, MANUSH (MD)
Entity type:Individual
Prefix:
First Name:MANUSH
Middle Name:
Last Name:GHAZARYAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:NORQI AYGINER, 302
Mailing Address - Street 2:
Mailing Address - City:YEREVAN
Mailing Address - State:NORK-MARASH
Mailing Address - Zip Code:00000-0047
Mailing Address - Country:AM
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2601 OCEAN PKWY
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-7745
Practice Address - Country:US
Practice Address - Phone:747-344-9259
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-21
Last Update Date:2023-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program