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NPI Code Detail

MEDICARE: MARK C GARABEDIAN

MEDICARE: MARK C GARABEDIAN
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
1208000000XPediatrics Physician1892751NY
2208000000XPediatrics Physician0101245096VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2C06115OTHERVAGROUP PTAN
3C06193OTHERVAGROUP PTAN

General Provider Information

NPI Number : 1285792978
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARK C GARABEDIAN
Provider Business Mailing Address
First Line : 6372 MECHANICSVILLE TPKE
Second Line : SUITE 103
City : MECHANICSVILLE
State : VA
Zip : 23111-4705
Country : US
Telephone Number : 804-730-4690
Fax Number : 804-559-0333
Provider Business Practice Location Address
First Line : 6372 MECHANICSVILLE TPKE
Second Line : SUITE 103
City : MECHANICSVILLE
State : VA
Zip : 23111-4705
Country : US
Telephone Number : 804-730-4690
Fax Number : 804-559-0333
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2006
Last Update Date : 06/07/2011

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Directions to “ MARK C GARABEDIAN ” Practice Location

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