Individual
DR. ARSHAG DERTAD MOORADIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
655 W 8TH ST, UFJP ENDOCRINOLOGY, JACKSONVILLE, FL 32209-6511
(904) 244-8846
(904) 244-8844
Mailing address
PO BOX 44008, UFJP PROVIDER ENROLLMENT, JACKSONVILLE, FL 32231-4008
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME95499
FL
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
ME95499
FL
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
ME95499
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2749777-00
—
FL
05
—
632720059A
—
GA
01
—
P00341448
RAILROAD MEDICARE
FL
Enumeration date
03/28/2006
Last updated
04/02/2008
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