Individual
ANNETTE A KEOCHEKIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
101 BODIN CIR, TRAVIS AFB, CA 94535-1809
(707) 673-3594
Mailing address
10535 HOSPITAL WAY, MATHER, CA 95655-4200
(916) 366-5410
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A752480
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00783073
MEDICARE RR (GRP PTAN DO3630)
CA
Enumeration date
12/16/2005
Last updated
10/08/2018
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