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NPI Code Detail

MEDICARE: ARNAK IVANOV DBA JAKI MED

MEDICARE: ARNAK IVANOV DBA JAKI MED
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
1332B00000XDurable Medical Equipment & Medical Supplies

General Provider Information

NPI Number : 1265409460
Entity Type Code : Organization
Provider Name (Legal Business Name) : ARNAK IVANOV DBA JAKI MED
Provider Business Mailing Address
First Line : 3629 COLE MILL RD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28270-1121
Country : US
Telephone Number : 704-622-8727
Fax Number : 704-847-3771
Provider Business Practice Location Address
First Line : 3629 COLE MILL RD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28270-1121
Country : US
Telephone Number : 704-622-8727
Fax Number : 704-847-3771
Authorized Official
Title or Position : OWNER
Name : MR. ARNAK IVANOV
Credential :
Telephone Number : 704-622-8727
Provider Enumeration Date : 03/07/2006
Last Update Date : 07/01/2008

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Directions to “ARNAK IVANOV DBA JAKI MED ” Practice Location

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