Bayrakdarian, Ishkhan John

Bayrakdarian, Ishkhan John is an sole proprietor health care provider with primary practice located at 1616 W Shaw Ave Ste A6 , Fresno CA 93711. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Bayrakdarian, Ishkhan John can be contacted via phone (559) 222-2522.

Contact Information

Primary practice address
1616 W Shaw Ave Ste A6 Fresno CA 93711
Fax: (559) 222-3022
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 50037 California

Profile Details

NPI number 1891719217
LBN Legal business name Bayrakdarian, Ishkhan John
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 27th, 2006
Last updated Oct 12th, 2020 - about 4 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 1891719217 NPPES
California MEDICAID 203643578

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