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Organization

VICKEN POOCHIKIAN MD P A

Active
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Organization

VICKEN POOCHIKIAN MD P A

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. VICKEN POOCHIKIAN M.D. (SOLE OWNER M.D.)
(301) 779-7607
Entity
Organization

Contact information

Practice address
5632 ANNAPOLIS RD, SUITE 3, BLADENSBURG, MD 20710-2213
(301) 779-7607
(301) 927-0335
Mailing address
5632 ANNAPOLIS RD, SUITE 3, BLADENSBURG, MD 20710-2213
(301) 779-7607
(301) 927-0335

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1174568463
INDIVIDUAL NPI
MD
Enumeration date
06/18/2008
Last updated
04/19/2011
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