Individual
GREGORY ABRAHAM DEMIRJIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2021 PERDIDO ST., 7TH FL. - ROOM 7225, NEW ORLEANS, LA 70112
(504) 568-3381
(504) 568-8955
Mailing address
250 PARK ST, BOWLING GREEN, KY 42101-1760
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2662961
—
LA
Enumeration date
03/30/2023
Last updated
07/28/2024
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