Nazarian, Gwen K
Nazarian, Gwen K is an individual health care provider with primary practice located at 1221 Nicollet Ave Suite 600, Minneapolis MN 55403-2420. She recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, which is considered as her primary health care specialty. Nazarian, Gwen K can be contacted via phone (612) 573-2232.Contact Information
Primary practice address
1221 Nicollet Ave Suite 600
Minneapolis MN 55403-2420
Phone: (612) 573-2232
Fax: (612) 573-2274
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 35073 | Minnesota |
Profile Details
| NPI number | 1134174022 |
|---|---|
| LBN Legal business name | Nazarian, Gwen K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2006 |
| Last updated | May 1st, 2008 - about 16 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 | 1134174022 | NPPES |
| Minnesota | Other | 766039 | AMERICA'S PPO |
| Minnesota | Other | 1010359 | AMERICA'S PPO |
| Minnesota | Other | 004D5NA | AMERICA'S PPO |
| Minnesota | Other | 45D71NA | AMERICA'S PPO |
| Minnesota | MEDICAID | 151105 | AMERICA'S PPO |
| Minnesota | Other | HP21404 | AMERICA'S PPO |
| Minnesota | MEDICAID | 532590100 | AMERICA'S PPO |
| Minnesota | Other | 105563 | AMERICA'S PPO |
| Minnesota | MEDICAID | 31777600 | AMERICA'S PPO |
| Minnesota | Other | 300117464 | AMERICA'S PPO |
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