Individual
SEAN A. AVAKIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
975 E. THIRD STREET, CHATTANOOGA, TN 37403-2147
(423) 778-7608
(423) 778-2360
Mailing address
PO BOX 11225, CHATTANOOGA, TN 37401-2225
(423) 892-5602
(423) 892-5838
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN137996
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
APN14341
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1053542209
TRICARE/CHAMPUS
—
05
—
114625
—
AL
05
—
1515536
—
TN
01
—
4236775
BLUE CROSS BLUE SHIELD TN
TN
05
—
8053728
—
NC
05
—
854664272A
—
GA
Enumeration date
08/06/2009
Last updated
09/17/2010
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