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Organization
KEVORK BOULDOUKIAN, M.D., INC.
Active
Organization
KEVORK BOULDOUKIAN, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVORK BOULDOUKIAN M.D. (OWNER)
(661) 633-9080
Entity
Organization
Contact information
Practice address
2128 TRUXTUN AVE, BAKERSFIELD, CA 93301-3702
(661) 633-9080
(661) 633-9081
Mailing address
2128 TRUXTUN AVE, BAKERSFIELD, CA 93301-3702
(661) 633-9080
(661) 633-9081
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A55931
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GF042A
PTAN
CA
Enumeration date
01/24/2012
Last updated
12/31/2012
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