Individual provider · NPI-1

Michael Ghazarian, M.D.

Radiology, Diagnostic Radiology · Addison, TX

NPI number1376835371
StatusActive
Last updated in NPPESFeb 5, 2021

Details

NPI
1376835371
Entity type
Individual (NPI-1)
Name
Michael Ghazarian
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
May 9, 2011
Certification date
Feb 5, 2021
Last updated
Feb 5, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2085R0202X Radiology, Diagnostic RadiologyQ7195TXYes

Practice location

14679 Midway Rd Ste 206
Addison, TX 75001-3197

Phone 469-317-9900

Mailing address

Po Box 740608
Dallas, TX 75374-0608

Phone 469-317-9900

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