1992740187 NPI number — ARTIN AHARONIAN M.D.

Table of content: ARTIN AHARONIAN M.D. (NPI 1992740187)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1992740187 NPI number — ARTIN AHARONIAN M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
AHARONIAN
Provider First Name:
ARTIN
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1992740187
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/07/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4110 ASPEN HILL RD
Provider Second Line Business Mailing Address:
SUITE 200
Provider Business Mailing Address City Name:
ROCKVILLE
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
20853-2853
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
301-438-5150
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3801 INTERNATIONAL DR
Provider Second Line Business Practice Location Address:
SUTIE 103
Provider Business Practice Location Address City Name:
SILVER SPRING
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
20906-1550
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
301-598-0123
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/19/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2085R0202X , with the licence number:  E-14068 , registered in the state of AR ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2085R0202X , with the licence number: D0056788 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 007229976 , issued by the state of ( VA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 007229984 , issued by the state of ( VA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 007603347 , issued by the state of ( VA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 010075254 , issued by the state of ( VA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 027360400 , issued by the state of ( DC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 007229968 , issued by the state of ( VA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 010075068 , issued by the state of ( VA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 010042283 , issued by the state of ( VA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 010133459 , issued by the state of ( VA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 010075157 , issued by the state of ( VA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 010075262 , issued by the state of ( VA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 021503100 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".
  • Identifier: 980MJ657 , issued by the state of ( VA ) . This identifiers is of the category "MEDICAID".