Kachadurian, Mark A

Kachadurian, Mark A is an individual health care provider with primary practice located at 27555 Middlebelt Rd , Farmington Hills MI 48334-5011. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Kachadurian, Mark A can be contacted via phone (248) 478-5512.

Contact Information

Primary practice address
27555 Middlebelt Rd Farmington Hills MI 48334-5011
Fax: (248) 478-5350
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 5101010218 Michigan

Profile Details

NPI number 1376540286
LBN Legal business name Kachadurian, Mark A
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Jul 8th, 2007 - about 17 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 1376540286 NPPES
Michigan MEDICAID 3046952

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