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Individual
PAUL G AVADANIAN
Active
Individual
PAUL G AVADANIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS008957L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015922740004
—
PA
01
—
500048
AETNA
PA
01
—
500488
USH/HMO
PA
01
—
50051223
CAPITAL BLUE
PA
01
—
858854
BLUE SHIELD
PA
01
—
P002390
GATEWAY
PA
01
—
P00255543
RAILROAD MEDICARE
PA
Enumeration date
09/06/2006
Last updated
06/10/2024
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