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Individual
HARRY O SENEKJIAN
Active
Individual
HARRY O SENEKJIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
169315 1205
UT
207RN0300X
Nephrology Physician
Primary
169315
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000060400
IDAHO MEDICAID
UT
01
—
0400649
UHC
UT
05
—
07331
—
UT
01
—
107004821101
IHC
UT
01
—
110234858
PALMETTO RR INS
UT
01
—
1167014 00
ACS
UT
05
—
1760484596
—
UT
01
—
31896
GEM STATE
UT
01
—
68391
PEHP
UT
01
—
8445
DMBA
UT
01
—
PR00533
MOLINA
UT
01
—
QM0000056196
ALTIUS
UT
Enumeration date
08/11/2005
Last updated
08/15/2016
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