Doctor Name: | TIMOTHY KIRKOR ATMAJIAN |
NPI Number: | 1003816141 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | G778170 |
Business Practice Address: | 3030 N Fresno St Suite 101 Fresno, CA - 937031124 |
Business Phone Number: | 5592271622 |
Business Fax Number: | 5592277668 |
Mailing Address: | 2363 W Muscat Ave, FRESNO |
State: | CA |
Postal Code: | 937069748 |
Phone Number: | 5592377074 |
Fax Number: | 5592377074 |
NPI Enumeration Date: | 07/29/2005 |
NPI Last Update Date: | 04/15/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | G778170 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |