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NPI Code Detail

MEDICARE: DR. GAREN BOGHOSIAN M.D.

MEDICARE: DR. GAREN BOGHOSIAN M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085N0700XNeuroradiology PhysicianMD432718PA

General Provider Information

NPI Number : 1043421282
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GAREN BOGHOSIAN M.D.
Provider Business Mailing Address
First Line : 700 E MOREHEAD ST STE 300
Second Line :
City : CHARLOTTE
State : NC
Zip : 28202-2742
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 601 W ARBROOK BLVD
Second Line :
City : ARLINGTON
State : TX
Zip : 76014-3701
Country : US
Telephone Number : 817-472-0840
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2007
Last Update Date : 04/15/2024

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