Individual
GARABET S KHATCHIKIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
Update your record
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