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Individual
HAKOP GEVORKYAN
Active
Individual
HAKOP GEVORKYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A63848
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A63848
—
CA
01
—
GR0089090
GROUP MEDICAL
—
01
—
W15115
EDI
—
01
—
WA63848B
PPIN #
—
Enumeration date
11/28/2006
Last updated
08/27/2018
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