Abovyan, Shagen

Abovyan, Shagen is an individual health care provider with primary practice located at 1608 East Commercial Boulevard , Fort Lauderdale FL 33334. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Abovyan, Shagen can be contacted via phone (954) 489-1345.

Contact Information

Primary practice address
1608 East Commercial Boulevard Fort Lauderdale FL 33334
Fax: (954) 489-1052
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME48709 Florida

Profile Details

NPI number 1285827139
LBN Legal business name Abovyan, Shagen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2007
Last updated Sep 21st, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285827139 NPPES
Florida Other 02774Z MEDICARE ID

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