# DR. ARTUR VARDANYAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1497073084
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2083P0011X | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | ME105695 | FL | — |
| 208D00000X | General Practice Physician | A127250 | CA | Yes |
| 208D00000X | General Practice Physician | ME 105695 | FL | — |

## Other

- **Enumeration date:** 05/07/2010
- **Last updated:** 09/28/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 002357800 | — | FL |
| 01 | — | 148U6 | BCBS | FL |
| 01 | — | P00863023 | RR MEDICARE ATTACHED TO GRP\# DQ1103 | — |