Individual
SHAGEN ABOVYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1608 EAST COMMERCIAL BOULEVARD, FORT LAUDERDALE, FL 33334
(954) 489-1345
(954) 489-1052
Mailing address
1608 E COMMERCIAL BLVD, OAKLAND PARK, FL 33334-5719
(954) 489-1345
(954) 489-1052
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME48709
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02774Z
MEDICARE ID
FL
Enumeration date
08/23/2007
Last updated
09/21/2011
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