Gedachian, Robert K

Gedachian, Robert K is an individual health care provider with primary practice located at 100 Mlk Jr Blvd 2Nd Fl, Worcester MA 01608-1220. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Allergy, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Allergy is his primary health care specialty. Gedachian, Robert K can be contacted via phone (508) 757-1589.

Contact Information

Primary practice address
100 Mlk Jr Blvd 2Nd Fl Worcester MA 01608-1220
Phone: (508) 757-1589
Fax: (508) 757-5633
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 11592 New Hampshire
Allopathic & Osteopathic Physicians / Allergy 207KA0200X 31591 Massachusetts
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 31591 Massachusetts

Profile Details

NPI number 1144324716
LBN Legal business name Gedachian, Robert K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2006
Last updated Sep 22nd, 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 1144324716 NPPES
Massachusetts MEDICAID 0197203

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