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DR. JULETTA AVAGYAN M.D. NPI 1013278944


NPI Information

NPI: 1013278944
Provider Name: DR. JULETTA AVAGYAN, M.D.
Classification: Hospitalist - 208M00000X
Entity Type: Individual
Organization: PHYSICIAN GROUPS LC

PECOS Registration: Yes

Address:
1 MEMORIAL DR
ALTON, IL
ZIP 62002
Phone: (618) 463-7240
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DR. Juletta Avagyan, M.D. is a hospitalist in Alton, IL with 31 years of experience. The provider is hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. DR. Juletta Avagyan, M.D. NPI is 1013278944. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1 MEMORIAL DR
ALTON, IL
ZIP 62002
Phone: (618) 463-7240
Fax: (618) 463-7216

The NPI 1013278944 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/7/2012 and was last updated on 9/22/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine2015026284MISSOURINo
2208M00000XHospitalist2015026284MISSOURINo
3208M00000XHospitalist036-144670ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1207QOOOOOXOTHERVIRGINIAFAMILY MEDICINE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.