Herman Ayvazyan

LBN: Herman Ayvazyan
Herman Ayvazyan is an health care organization with primary practice located at 450 Veterans Memorial Pkwy # 12 , East Providence RI 02914-5300. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Herman Ayvazyan can be contacted via phone (401) 434-6464, or through Ayvazyan, Herman via phone (401) 434-6464.

Contact Information

Primary practice address
450 Veterans Memorial Pkwy # 12 East Providence RI 02914-5300
Fax: (401) 438-1890
Website:
Authorized official contact:
Name: Ayvazyan, Herman Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 7061 Rhode Island

Profile Details

NPI number 1619134921
LBN Legal business name Herman Ayvazyan
DBA Doing business as
Authorized official Ayvazyan, Herman Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 22nd, 2008
Last updated May 16th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619134921 NPPES
Rhode Island MEDICAID 9001194

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