Kiledjian, Vartkes Kevork

Kiledjian, Vartkes Kevork is an sole proprietor health care provider with primary practice located at 6005 Park Ave Suite 1004B, Memphis TN 38119-5202. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Kiledjian, Vartkes Kevork can be contacted via phone (901) 767-6181.

Contact Information

Primary practice address
6005 Park Ave Suite 1004B Memphis TN 38119-5202
Fax: (901) 767-2969
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 7726 Tennessee

Profile Details

NPI number 1407894066
LBN Legal business name Kiledjian, Vartkes Kevork
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 3rd, 2006
Last updated Apr 18th, 2012 - 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 1407894066 NPPES
Mississippi MEDICAID 18775
Mississippi MEDICAID 620948379
Mississippi MEDICAID 113919001

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