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Organization

K. HAMAMDJIAN MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KHATCHADOUR WAHAN HAMAMDJIAN MD (PRESIDENT)
(248) 642-1389
Entity
Organization

Contact information

Practice address
27177 LAHSER RD, SUITE 104, SOUTHFIELD, MI 48034-4714
(248) 353-6580
(248) 353-0883
Mailing address
104 MANORWOOD DR, BLOOMFIELD HILLS, MI 48304-2133
(248) 642-1389
(248) 353-0883

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4301037656
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
128807
CARE CHOICE HMO
MI
01
2440249001
CIGNA INS.
MI
01
280000118
RAILROAD MEDICARE
MI
01
280F339180
BLUE CROSS BLUE SHIELD MI
MI
01
354121
UNITED HEALTH CARE
MI
05
4137828
MI
01
4557191
AETNA INSURANCE
MI
01
A78356
HEALTH ALLIANCE PLAN
MI
Enumeration date
12/09/2005
Last updated
11/30/2011
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