Individual
DR. EDWARD NUBAR BODURIAN
Active
Individual
DR. EDWARD NUBAR BODURIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
D0028064
MD
207RC0000X
Cardiovascular Disease Physician
Primary
D0028064
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32331400
—
MD
01
—
A575
CAREFIRST BLUE CROSS BLUE SHIELD
MD
Enumeration date
06/16/2006
Last updated
04/07/2025
Update your record
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