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Individual
MICHAEL KOUYOUMDJIAN
Active
Individual
MICHAEL KOUYOUMDJIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS012453
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01 01847
EVERCARE
PA
01
—
0299820
CIGNA
PA
05
—
1012103820001
—
PA
01
—
11460
ELDERHEALTH
PA
01
—
2307449000
KEYSTONE HEALTHPLAN EAST
PA
01
—
231396763
DEVON
PA
01
—
231396763005
TRICARE
PA
01
—
30021852
KMHP
PA
01
—
34238OS012453
HEALTHPARTNERS
PA
01
—
3618677
AUSHC HMO
PA
01
—
7904588
AUSHC PPO
PA
01
—
K001631770
HIGHMARK BLUE SHIELD
PA
01
—
P3328720
OXFORD
PA
Enumeration date
11/02/2005
Last updated
12/20/2012
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