MEDICARE: ANAHIT MKRTCHYAN

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
1	207R00000X	Internal Medicine Physician	P138173	NY

General Provider Information

NPI Number	:	1063393999
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANAHIT MKRTCHYAN

Provider Business Mailing Address
First Line	:	2701 E 66TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-6806
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3010 W 33RD ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11224-1404
Country	:	US
Telephone Number	:	718-709-0940
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/09/2025
Last Update Date	:	09/09/2025

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Directions to “ ANAHIT MKRTCHYAN ” Practice Location

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