NPI 1124031802

Jila Khorsand, MD

Practitioner Anatomic Pathology & Clinical Pathology Physician Providence, RI

Practice location

Address: 825 Chalkstone Ave Roger Williams Medical Center/Pathology Dept, Providence, RI 02908-4728
Phone: (401) 456-2162
Fax: (401) 456-2131

Registered specialties

Anatomic Pathology & Clinical Pathology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ZP0102X Licence MD06937 (RI)

Other Pathology providers in Rhode Island →

Registry record

NPI: 1124031802
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Aug 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.