Kovosh Dastan, MD is a student in an organized health care education training program in Charlottesville, VA. The provider is 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. Kovosh Dastan, MD NPI is 1912403734. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1215 LEE ST
CHARLOTTESVILLE, VA
ZIP 22908-001
Phone: (434) 243-5600
The NPI 1912403734 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.
The enumeration date for this NPI number is 4/2/2018 and was last updated on 8/1/2019.