KENGO ZAVEN SOGHOYAN (NPI# 1225664253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225664253 |
| Entity Type | Individual |
| Full Name | KENGO ZAVEN SOGHOYAN |
| Credential | MD |
| Practice Address |
3700 Washington Ave Evansville IN 47714-0541 |
| Mailing Address |
1087 Beaumont Dr San Jose CA 95129-3202 |
| Practice Telephone | 8124854000 |
| Enumeration Date | 2020-03-21 |
| Last Update Date | 2020-03-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
3700 WASHINGTON AVE |
| City | EVANSVILLE |
| State | IN |
| Zip Code | 47714-0541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972509115 | Teresa M. Brown | Obstetrics & Gynecology | 3700 Washington Ave, Ste 2200, Evansville, IN 47714-0541 | 2005-06-22 |
| 1003417064 | Kelli Robertson | Dietitian, Registered | 3700 Washington Ave, Evansville, IN 47714-0541 | 2020-11-05 |
| 1700409323 | Madeline Eisenhut | Pharmacist | 3700 Washington Ave, Evansville, IN 47714-0541 | 2020-05-19 |
| 1023647872 | Alexa Raenae Antrim | Physician Assistant | 3700 Washington Ave, Evansville, IN 47714-0541 | 2020-04-03 |
| 1104452077 | Swetha Chenna | Student in an Organized Health Care Education/Training Program | 3700 Washington Ave, Evansville, IN 47714-0541 | 2020-03-23 |
| 1902432883 | Jacob Konrad Weinzapfel | Student in an Organized Health Care Education/Training Program | 3700 Washington Ave, Evansville, IN 47714-0541 | 2020-03-23 |
| 1235765272 | Troy Manz | Student in an Organized Health Care Education/Training Program | 3700 Washington Ave, Evansville, IN 47714-0541 | 2020-03-22 |
| 1740816784 | Christopher C Shrack | Student in an Organized Health Care Education/Training Program | 3700 Washington Ave, Evansville, IN 47714-0541 | 2020-03-22 |
| 1245866185 | Neil Patrick Corbett | Student in an Organized Health Care Education/Training Program | 3700 Washington Ave, Evansville, IN 47714-0541 | 2020-03-22 |
| 1427684547 | Michael I Carson | Student in an Organized Health Care Education/Training Program | 3700 Washington Ave, Evansville, IN 47714-0541 | 2020-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922343490 | Mary Elizabeth Esche | Physical Therapist | 3701 Bellemead Ave, Evansville, IN 47714 | 2012-12-10 |
| 1346524006 | Cheryl Ann Blanford | Pharmacist | 2015 E Covert Ave, Evansville, IN 47714 | 2011-09-29 |
| 1235446014 | Angela Kay Bradford-heidorn | Counselor | 4601 Bayard Park Drive, Evansville, IN 47714 | 2010-09-01 |
| 1104131655 | Cynthia D Lewis | Nurse Practitioner | 3700 Washington Ave Ste 202, Evansville, IN 47714 | 2010-08-09 |
| 1033357363 | Sarah M Voelkel | Podiatrist | 3801 Bellemeade Ave Ste 110a, Evansville, IN 47714 | 2009-01-23 |
| 1346443892 | Shilpa D Gaitonde | Internal Medicine | 3801 Bellemeade Ave Ste 300, Evansville, IN 47714 | 2007-06-11 |
| 1437361516 | Oncology Hematology Associates of Southwest Indiana | Internal Medicine | 3801 Bellemeade Suite 110, Evansville, IN 47714 | 2007-05-03 |
| 1629105374 | Comprehensive Neurosurgical Specialists, LLC | Neurological Surgery | 801 St Mary's Drive, Suite 505 East, Evansville, IN 47714 | 2007-02-28 |
| 1447387949 | Emily Mills | Physical Therapy Assistant | 1800 Elmendorf Avenue, Evanville, IN 47714 | 2007-02-28 |
| 1023153194 | Glen Gilbert Millikan II | Pharmacist | 1550 S. Vann Ave, Evansville, IN 47714 | 2007-02-20 |
| Find all providers in zip 47714 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598385916 | Kanchan Kumari | Student in an Organized Health Care Education/Training Program | 3924 Seasons Pt, Evansville, IN 47715-1389 | 2020-04-26 |
| 1043770068 | Hassan Arekemase | Student in an Organized Health Care Education/Training Program | 1944 Colts Ln, Evansville, IN 47714-6802 | 2019-03-25 |
| 1508313016 | Austin Montgomery | Student in an Organized Health Care Education/Training Program | 5911 Bigge Lane, Evansville, IN 47712-9439 | 2016-09-01 |
| 1205201001 | Karlee Kolb | Student in an Organized Health Care Education/Training Program | 313 Miller Rd, Evansville, IN 47712-3117 | 2015-12-04 |
| 1104452077 | Swetha Chenna | Student in an Organized Health Care Education/Training Program | 3700 Washington Ave, Evansville, IN 47714-0541 | 2020-03-23 |
| 1902432883 | Jacob Konrad Weinzapfel | Student in an Organized Health Care Education/Training Program | 3700 Washington Ave, Evansville, IN 47714-0541 | 2020-03-23 |
| 1235765272 | Troy Manz | Student in an Organized Health Care Education/Training Program | 3700 Washington Ave, Evansville, IN 47714-0541 | 2020-03-22 |
| 1740816784 | Christopher C Shrack | Student in an Organized Health Care Education/Training Program | 3700 Washington Ave, Evansville, IN 47714-0541 | 2020-03-22 |
| 1245866185 | Neil Patrick Corbett | Student in an Organized Health Care Education/Training Program | 3700 Washington Ave, Evansville, IN 47714-0541 | 2020-03-22 |
| 1427684547 | Michael I Carson | Student in an Organized Health Care Education/Training Program | 3700 Washington Ave, Evansville, IN 47714-0541 | 2020-03-20 |
| Find all providers in EVANSVILLE | ||||
| City | EVANSVILLE |
| Zip Code | 47714 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.