Derkevorkian, Nazaret
Derkevorkian, Nazaret is an individual health care provider with primary practice located at 323 Lowell St , Andover MA 01810-4501. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Derkevorkian, Nazaret can be contacted via phone (978) 783-5000.Contact Information
Primary practice address
323 Lowell St
Andover MA 01810-4501
Phone: (978) 783-5000
Fax: (978) 313-8184
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 216431 | Massachusetts |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 216431 | Massachusetts |
Profile Details
| NPI number | 1467441253 |
|---|---|
| LBN Legal business name | Derkevorkian, Nazaret |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 14th, 2005 |
| Last updated | Apr 10th, 2017 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467441253 | NPPES |
| Massachusetts | Other | J26493 | BC.BS |
| Massachusetts | MEDICAID | 1301853 | BC.BS |
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