DR. ARSHAG DERTAD MOORADIAN MD NPI 1154382430

NPI Information

NPI: 1154382430
Provider Name: DR. ARSHAG DERTAD MOORADIAN, MD
Classification: Internal Medicine - 207RE0101X
Entity Type: Individual

Specialization: Endocrinology, Diabetes & Metabolism

PECOS Registration: Yes

Address:
655 W 8TH ST
UFJP ENDOCRINOLOGY
JACKSONVILLE, FL
ZIP 32209
Phone: (904) 244-8846
Get Directions

DR. Arshag Dertad Mooradian, MD is an endocrinology and diabetes and metabolism internal medicine in Jacksonville, FL. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. DR. Arshag Dertad Mooradian, MD NPI is 1154382430. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

655 W 8TH ST
UFJP ENDOCRINOLOGY
JACKSONVILLE, FL
ZIP 32209-511
Phone: (904) 244-8846
Fax: (904) 244-8844

The NPI 1154382430 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 3/28/2006 and was last updated on 4/2/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207R00000X	Internal Medicine		ME95499	FLORIDA	No
2	207RG0300X	Internal Medicine	Geriatric Medicine	ME95499	FLORIDA	No
3	207RE0101X	Internal Medicine	Endocrinology, Diabetes & Metabolism	ME95499	FLORIDA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	41743Z	MEDICARE PIN	FLORIDA
2	P00341448	OTHER	FLORIDA	RAILROAD MEDICARE
3	E82912	MEDICARE UPIN	FLORIDA

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

NPI Synchronization or Removal

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