Individual
JOSEPH ANTOINE MALDJIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7201
(214) 648-6751
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
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
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