POUYAN NAMAKYDOUST

CANTON, OH
NPI1265965909
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2017-04-10
Last Update Date2020-06-16
Business Address
POUYAN NAMAKYDOUST M.D.
2600 SIXTH ST SW
CANTON, OH 44710-1702
Phone number: 330-363-6223
Mailing Address
POUYAN NAMAKYDOUST M.D.
111 E 210TH ST
BRONX, NY 10467-2401
Phone number: 212-440-1943