Individual provider · NPI-1

Robert Aghasaryan, MD

Family Medicine · Des Moines, IA

NPI number1891483053
StatusActive
Last updated in NPPESMay 16, 2023

Details

NPI
1891483053
Entity type
Individual (NPI-1)
Name
Robert Aghasaryan
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Apr 26, 2023
Certification date
May 16, 2023
Last updated
May 16, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineR-12695IAYes

Practice location

1111 6th Ave
Des Moines, IA 50314-2613

Phone 515-643-2682 · Fax 515-643-5802

Mailing address

Po Box 1475
Des Moines, IA 50305-1475

Phone 515-643-2682 · Fax 515-643-5802

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