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Individual

DR. SERGIO BARTAKIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
CHILDREN'S HOSPITAL OF MI - 4TH, 3901 BEAUBIEN, DETROIT, MI 48201
(313) 745-5481
(313) 966-2423
Mailing address
UNIVERSITY PEDIATRICIANS, 4201 ST. ANTOINE UHC 5D # 226, DETROIT, MI 48201
(313) 966-5051
(313) 966-0665

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
4301119342
MI
208000000X
Pediatrics Physician
57.011456
OH
2080P0202X
Pediatric Cardiology Physician
Primary
4301119342
MI
2080P0202X
Pediatric Cardiology Physician
47596
CO
2080P0202X
Pediatric Cardiology Physician
A121219
CA
2080P0202X
Pediatric Cardiology Physician
P7881
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
329070203
TX
01
329070204
CSHCN
TX
Enumeration date
05/13/2007
Last updated
07/23/2019
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