Ajizian, Samuel

Ajizian, Samuel is an individual health care provider with primary practice located at Medical Center Blvd , Winston Salem NC 27157-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Anesthesiology, which is considered as his primary health care specialty. Ajizian, Samuel can be contacted via phone (336) 716-2255.

Contact Information

Primary practice address
Medical Center Blvd Winston Salem NC 27157-0001
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Anesthesiology 207LP3000X 2001-01419 North Carolina

Profile Details

NPI number 1982671616
LBN Legal business name Ajizian, Samuel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2006
Last updated Jun 24th, 2010 - 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 1982671616 NPPES
Other 130GA BCBS
Other 45705 BCBS
Other 7153310 BCBS
MEDICAID Q01419 BCBS
MEDICAID 2004816000 BCBS
Other B2548 BCBS
MEDICAID 89130GA BCBS
MEDICAID 6712738 BCBS

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