YERVANT KHATCHERIAN MD PA NPI 1023332905

NPI Information

YERVANT KHATCHERIAN MD PA is a clinic center in Clearwater, FL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). YERVANT KHATCHERIAN MD PA NPI is 1023332905. The provider is registered as an organization entity type.

The provider's business location address is:

29605 US HIGHWAY 19 N
SUITE 170
CLEARWATER, FL
ZIP 33761-537
Phone: (727) 771-8444
Fax: (727) 771-8604

The provider's authorized official is Yervant Khatcherian .
The authorized official title is President and has the following contact phone number (727) 771-8444.

The CLIA number assigned to this NPI record is 10D0998052 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/20/2010 and was last updated on 1/8/2011.

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:

Other Identifiers

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

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