Individual
MARK C GARABEDIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6372 MECHANICSVILLE TPKE, SUITE 103, MECHANICSVILLE, VA 23111-4705
(804) 730-4690
(804) 559-0333
Mailing address
6372 MECHANICSVILLE TPKE, SUITE 103, MECHANICSVILLE, VA 23111-4705
(804) 730-4690
(804) 559-0333
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101245096
VA
208000000X
Pediatrics Physician
1892751
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01443329
—
NY
01
—
C06115
GROUP PTAN
VA
01
—
C06193
GROUP PTAN
VA
Enumeration date
12/05/2006
Last updated
06/07/2011
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