Mooradian, Arshag Dertad

Mooradian, Arshag Dertad is an individual health care provider with primary practice located at 655 W 8Th St Ufjp Endocrinology, Jacksonville FL 32209-6511. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is his primary health care specialty. Mooradian, Arshag Dertad can be contacted via phone (904) 244-8846.

Contact Information

Primary practice address
655 W 8Th St Ufjp Endocrinology Jacksonville FL 32209-6511
Phone: (904) 244-8846
Fax: (904) 244-8844
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME95499 Florida
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X ME95499 Florida
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X ME95499 Florida

Profile Details

NPI number 1154382430
LBN Legal business name Mooradian, Arshag Dertad
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2006
Last updated Apr 2nd, 2008 - about 17 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 1154382430 NPPES
Florida MEDICAID 2749777-00
Florida Other P00341448
Florida MEDICAID 632720059A

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