Individual
MARK MIHRAN DAVIDIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2801 K ST, #502, SACRAMENTO, CA 95816-5120
(877) 515-0053
Mailing address
PO BOX 678510, DALLAS, TX 75267-8510
(559) 272-2934
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
G73533
CA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
G73533
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G735330
—
CA
Enumeration date
06/23/2005
Last updated
11/28/2023
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