| Organization Name: | FACIAL PLASTIC SURGERY EARS, NOSE, AND THROAT CLINIC |
| NPI Number: | 1043404296 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BANIPAL HOVHANESSIAN (DR./OWNER) |
| Mailing Address: | 2220 W Alto Rd Kokomo |
| State: | IN US |
| Postal Code: | 469024840 |
| Phone Number: | 7654552577 |
| Fax Number: | |
| NPI Enumeration Date: | 08/30/2007 |
| NPI Last Update Date: | 08/30/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207YS0123X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Otolaryngology |
| Taxonomy Specialization: | Facial Plastic Surgery |
| Taxonomy Definition: | An otolaryngologist who specializes in facial plastic surgery. |