Individual
KEDAK Z BALTAJIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2821 MICHAELANGELO DR, STE 401, EDINBURG, TX 78539-1404
(956) 362-2470
(956) 362-2487
Mailing address
PO BOX 749, PHARR, TX 78577-1614
(956) 362-2171
(956) 362-2487
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
Q4898
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
348603701
—
TX
Enumeration date
12/01/2011
Last updated
01/19/2017
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