| Provider / Organization | NPI | Date Certified |
|---|---|---|
| ZHANNA GHUKASYAN | 1518550276 | 2021-02-13 |
Zhanna Ghukasyan is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1518550276. Registration indicates Zhanna Ghukasyan is a provider of access to adult/geriatric primary care providers services with a specialization in Allopathic & Osteopathic Physicians, Family Medicine Access to Pediatric Primary Care Providers (Allopathic & Osteopathic Physicians, Family Medicine) (Allopathic & Osteopathic Physicians, Family Medicine) (Family Medicine, ) (Primary Care/Family Planning/APRN/PA, ) (Family Medicine, Allopathic & Osteopathic Physicians)
| Entity Type | Individual |
| Provider Name | Zhanna Ghukasyan MD |
| Practice Office Address | 13013 FULLER AVE STE A GRANDVIEW, MO US |
| Practice Office Telephone | 8163260990 |
| Mailing Address | 2504 OLD STONY POINT RD UNIT C SANTA ROSA, CA 954077159 US |
| Business Telephone | 7072800009 |
| Code | Practice | License No State |
|---|---|---|
| 207Q00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Allopathic & Osteopathic Physicians Family MedicineAccess to Pediatric Primary Care Providers Allopathic & Osteopathic Physicians Family Medicine Allopathic & Osteopathic Physicians Family Medicine Family Medicine Primary Care/Family Planning/APRN/PA Family Medicine Allopathic & Osteopathic Physicians | 2020035609
MO |