Individual
JOSEPH ANTOINE MALDJIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
200001406
NC
2085R0202X
Diagnostic Radiology Physician
Primary
Q5479
TX
2085R0204X
Vascular & Interventional Radiology Physician
200001406
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
127NR
BCBS
NC
05
—
3004804000
—
WV
01
—
70405
PARTNERS
NC
01
—
7126645
AETNA
—
05
—
7234741
—
VA
05
—
89127NR
—
NC
01
—
A2494
MEDCOST
NC
05
—
Q01406
—
SC
Enumeration date
12/09/2005
Last updated
07/25/2016
Update your record
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