Kullukian, Daniel

Kullukian, Daniel is an sole proprietor health care provider with primary practice located at 4626 E. Sheena Dr. , Phoenix AZ 85032. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Surgical Assistant, which is considered as his primary health care specialty. Kullukian, Daniel can be contacted via phone (602) 295-8370.

Contact Information

Primary practice address
4626 E. Sheena Dr. Phoenix AZ 85032
Phone: (602) 295-8370
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Assistant 246ZC0007X 17193 Arizona

Profile Details

NPI number 1609119304
LBN Legal business name Kullukian, Daniel
Credentials M.D., SA-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 1st, 2013
Last updated Mar 29th, 2017 - about 7 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 1609119304 NPPES
Arizona MEDICAID 1609119304

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