Provider Demographics
NPI:1720724461
Name:GHUMAN, JOBAN (MD)
Entity Type:Individual
Prefix:
First Name:JOBAN
Middle Name:
Last Name:GHUMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:745 W. MOANA LANE, UNR MED RESIDENCY PROGRAM
Mailing Address - Street 2:SUITE 300
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89509
Mailing Address - Country:US
Mailing Address - Phone:775-432-6578
Mailing Address - Fax:
Practice Address - Street 1:745 W. MOANA LANE, UNR MED RESIDENCY PROGRAM
Practice Address - Street 2:SUITE 300
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509
Practice Address - Country:US
Practice Address - Phone:775-432-6578
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-06
Last Update Date:2023-01-03
Deactivation Date:2022-12-13
Deactivation Code:
Reactivation Date:2023-01-03
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program