Ketchedjian, Ara

Ketchedjian, Ara is an individual health care provider with primary practice located at 850 Harrison Ave Yacc Bn-C7, Boston MA 02118-4001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. Ketchedjian, Ara can be contacted via phone (617) 414-5405.

Contact Information

Primary practice address
850 Harrison Ave Yacc Bn-C7 Boston MA 02118-4001
Phone: (617) 414-5405
Fax: (617) 414-6031
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 219989 Massachusetts
Allopathic & Osteopathic Physicians / Surgery 208600000X 219989 Massachusetts

Profile Details

NPI number 1467599720
LBN Legal business name Ketchedjian, Ara
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2007
Last updated Nov 7th, 2013 - about 12 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 1467599720 NPPES
Massachusetts MEDICAID 110075849A

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