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Individual
AZAT BOGIKIAN
Active
Individual
AZAT BOGIKIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A84922
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0 563 792 1
ECFMG
CA
01
—
A84922
LICENSE
CA
Enumeration date
07/14/2006
Last updated
03/07/2023
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