Organization
YERVANT KHATCHERIAN MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YERVANT KHATCHERIAN MD (PRESIDENT)
(727) 771-8444
Entity
Organization
Contact information
Practice address
29605 US HIGHWAY 19 N, SUITE 170, CLEARWATER, FL 33761-1537
(727) 771-8444
(727) 771-8604
Mailing address
3104 MASTERS DR, CLEARWATER, FL 33761-1816
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
ME75296
FL
Other
Enumeration date
03/20/2010
Last updated
01/08/2011
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