Doctor Name: | DR. ARTUR VARDANYAN |
NPI Number: | 1497073084 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | ME 105695 |
Business Practice Address: | 7171 N Dale Mabry Hwy Suite 401 Tampa, FL - 336142630 |
Business Phone Number: | 8139321510 |
Business Fax Number: | |
Mailing Address: | Po Box 25595, TAMPA |
State: | FL |
Postal Code: | 336225595 |
Phone Number: | 7278232188 |
Fax Number: | |
NPI Enumeration Date: | 05/07/2010 |
NPI Last Update Date: | 02/21/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | ME 105695 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |