Individual
DR. MKRTICH PATATANYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
96 15TH ST NW STE 106, NORTON, VA 24273-1625
(276) 678-3488
Mailing address
1365 RIVERBEND DR APT 105, KINGSPORT, TN 37664-4081
(818) 903-3266
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0116032277
VA
208M00000X
Hospitalist Physician
Primary
20A18882
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0116032277
DEPARTMENT OF HEALTH PROFESSIONALS COMMONWEALTH VIRGINIA
VA
Enumeration date
08/13/2018
Last updated
10/04/2021
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