National Provider Identifier

Jonah Doustar, MD

Jonah Doustar, MD is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Buffalo, NY and a listed phone number of (716) 323-0646.

NPI 1487457909Buffalo, NYStudent in an Organized Health Care Education/Training Program

Profile Overview

NPI
1487457909
Provider Type
Individual
Primary Specialty
Student in an Organized Health Care Education/Training Program
Enumeration Date
March 31, 2025
Last Updated
March 31, 2025

Practice Location

  • 1010 Main St Fl 2
  • Buffalo, NY 14202-1449

Phone: (716) 323-0646

Mailing Address

  • 1928 Fox Hills Dr
  • Los Angeles, CA 90025-5104

Specialties

  • Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
NPI
1487457909
Entity Type
Individual
Last Name
Doustar
First Name
Jonah
Credential
MD
Mailing Street Address
1928 Fox Hills Dr
Mailing City
Los Angeles
Mailing State
CA
Mailing ZIP Code
90025-5104
Mailing Country
US
Mailing Phone
(310) 591-0284
Practice Street Address
1010 Main St Fl 2
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14202-1449
Practice Country
US
Practice Phone
(716) 323-0646
Enumeration Date
March 31, 2025
Last Updated
March 31, 2025
Sex
Male
Sole Proprietor
Yes
Certification Date
March 30, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Student in an Organized Health Care Education/Training Program (390200000X)