Arshag Dertad Mooradian in Jacksonville - Internal Medicine

Arshag Dertad Mooradian - NPI 1154382430

Arshag Dertad Mooradian is a Internal Medicine in Jacksonville, Florida. Arshag Dertad Mooradian practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Arshag Dertad Mooradian is 1154382430. The last update date is 2008-04-02.

Arshag Dertad Mooradian's current location address is 655 W 8th St, Jacksonville, Florida. You can contact this provider via phone number 9042448846 and fax number 9042448844. The mailing address for Arshag Dertad Mooradian is 655 W 8th St, Jacksonville, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Arshag Dertad Mooradian
Address 655 W 8th St, Jacksonville, Florida
Phone Number 9042448846
Fax Number 9042448844
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1154382430
Provider Enumeration Date 2006-03-28
Last Updated Date 2008-04-02

Provider Mailing Address Detail

Address 655 W 8th St
City Jacksonville
State Florida (FL)
Post Code 322096511
Phone Number 9042448846
Fax Number 9042448844

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No ME95499
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2749777-00 FL --
P00341448 FL RAILROAD MEDICARE
632720059A GA --

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FAQs about Arshag Dertad Mooradian

What is the unique 10-digit identifier code issued to Arshag Dertad Mooradian by the Centers for Medicare & Medicaid Services?

The Arshag Dertad Mooradian has been assigned the NPI (National Provider Identifier) 1154382430 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Arshag Dertad Mooradian is geographically located?

The Arshag Dertad Mooradian is physically situated at the following location: 655 W 8Th St, Jacksonville, FL, 322096511.

What is Arshag Dertad Mooradian's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Arshag Dertad Mooradian is Internal Medicine, and the taxonomy code that categorizes this field of expertise is 207R00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1154382430 to Arshag Dertad Mooradian?

The Centers for Medicare & Medicaid Services originally issued the 1154382430 to Arshag Dertad Mooradian on 2006-03-28.

As of what date were the Arshag Dertad Mooradian's details last updated?

The information pertaining to the Arshag Dertad Mooradian, including its address, specialty, and other details, was most recently updated on 2008-04-02.

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