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NPI Code Detail

MEDICARE: ROBERT KRIKORIAN PHD

MEDICARE: ROBERT KRIKORIAN PHD
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
1103T00000XPsychologist3580OH
2103G00000XClinical Neuropsychologist3580OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1063410405
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT KRIKORIAN PHD
Provider Business Mailing Address
First Line : PO BOX 636256 CENTRAL CREDENTIALING
Second Line :
City : CINCINNATI
State : OH
Zip : 45263-6256
Country : US
Telephone Number : 513-245-3107
Fax Number : 513-585-5511
Provider Business Practice Location Address
First Line : 234 GOODMAN ST
Second Line : DEPT. OF PSYCHIATRY
City : CINCINNATI
State : OH
Zip : 45219-2364
Country : US
Telephone Number : 513-558-4218
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2005
Last Update Date : 01/30/2018

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