Individual
GARABET S KHATCHIKIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
508 10TH ST, WORTHINGTON, MN 56187-2343
(507) 372-2921
(507) 372-1815
Mailing address
508 10TH ST, WORTHINGTON, MN 56187-2343
(507) 372-2921
(507) 372-1815
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
40977
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01G28KH
BCBS MPIN
MN
05
—
0512087
—
IA
01
—
110164895
RR MEDICARE
MN
01
—
125885
UCARE
MN
05
—
176021100
—
MN
Enumeration date
10/03/2006
Last updated
12/14/2021
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