Jack Armen Mahdasian in Grand Rapids - Psychiatry
Jack Armen Mahdasian - NPI 1841246634
Jack Armen Mahdasian is a Psychiatry in Grand Rapids, Michigan. Jack Armen Mahdasian practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Jack Armen Mahdasian is 1841246634. The last update date is 2022-11-17.
Jack Armen Mahdasian's current location address is 300 68th St Se, Grand Rapids, Michigan. You can contact this provider via phone number 6164555000. The mailing address for Jack Armen Mahdasian is 300 68th St Se, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack Armen Mahdasian |
|---|---|
| Address | 300 68th St Se, Grand Rapids, Michigan |
| Phone Number | 6164555000 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1841246634 |
|---|---|
| Provider Enumeration Date | 2006-05-25 |
| Last Updated Date | 2022-11-17 |
Provider Mailing Address Detail
| Address | 300 68th St Se |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495486927 |
| Phone Number | 6164555000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | 4301065448 |
|
Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3165069 | MI | -- | |
| 260D17625 | MI | BC/BS |
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What is the Jack Armen Mahdasian's unique identification number?
The Jack Armen Mahdasian has been assigned the NPI (National Provider Identifier) Number 1841246634 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Jack Armen Mahdasian?
The Jack Armen Mahdasian is situated at 300 68Th St Se, in the city of Grand Rapids, state of MI, with the zip code 495486927.
What is Jack Armen Mahdasian's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jack Armen Mahdasian is Psychiatry, and the taxonomy code that classifies this field of practice is 2084P0800X.
On what date did Jack Armen Mahdasian receive its 1841246634 assignment from the Centers for Medicare & Medicaid Services?
The Jack Armen Mahdasian was assigned its 1841246634 on 2006-05-25, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Jack Armen Mahdasian most recently updated or revised?
The details related to Jack Armen Mahdasian, including its address, specialty, and other relevant information, were last updated or revised on 2022-11-17.
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