Khatchadourian, Joseph
Khatchadourian, Joseph is an sole proprietor health care provider with primary practice located at 4140 E Baseline Rd Ste 101 , Mesa AZ 85206-4413. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Khatchadourian, Joseph can be contacted via phone (480) 719-6229.Contact Information
Primary practice address
4140 E Baseline Rd Ste 101
Mesa AZ 85206-4413
Phone: (480) 719-6229
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | 42191 | Arizona |
Profile Details
| NPI number | 1477501161 |
|---|---|
| LBN Legal business name | Khatchadourian, Joseph |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 4th, 2006 |
| Last updated | Apr 17th, 2015 - about 9 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 | 1477501161 | NPPES |
| Arizona | Other | Z136590 | MEDICARE PTAN |
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