Davidian, Mark Mihran
Davidian, Mark Mihran is an individual health care provider with primary practice located at 2801 K St #502, Sacramento CA 95816-5120. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Davidian, Mark Mihran can be contacted via phone (877) 515-0053.Contact Information
Primary practice address
2801 K St #502
Sacramento CA 95816-5120
Phone: (877) 515-0053
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | G73533 | California |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | G73533 | California |
Profile Details
| NPI number | 1518963578 |
|---|---|
| LBN Legal business name | Davidian, Mark Mihran |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 23rd, 2005 |
| Last updated | Nov 28th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518963578 | NPPES |
| California | MEDICAID | 00G735330 |
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