Individual
ISHKHAN AMERKHANIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 WALLACE WAY, GRANDVIEW, WA 98930-8805
(509) 788-1702
Mailing address
1000 WALLACE WAY, GRANDVIEW, WA 98930-8805
(509) 788-1702
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
000000000
WA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
OL61442877
WA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/11/2023
Last updated
10/09/2023
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