Mikaelian, Bradley James

Mikaelian, Bradley James is an individual health care provider with primary practice located at 1400 E Boulder St Suite 700, Colorado Springs CO 80909-5533. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Mikaelian, Bradley James can be contacted via phone (719) 635-7172.

Contact Information

Primary practice address
1400 E Boulder St Suite 700 Colorado Springs CO 80909-5533
Phone: (719) 635-7172
Fax: (719) 444-3759
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 223227 Massachusetts
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X 47545 Colorado

Profile Details

NPI number 1861598682
LBN Legal business name Mikaelian, Bradley James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2006
Last updated Feb 4th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861598682 NPPES
Colorado MEDICAID 64684041

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