Healthcare Provider Details

I. General information

NPI: 1841547957
Provider Name (Legal Business Name): TAMAR ACHJIAN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/08/2012
Last Update Date: 06/21/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3RD FLOOR, A45 BUILDING, 6TH STREET
RABOUEH MATEN
9614
LB

IV. Provider business mailing address

PO BOX 80134
BOURJ HAMMOUD BEIRUT
5571
LB

V. Phone/Fax

Practice location:
  • Phone: 009613898948
  • Fax: 009611494939
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberBP10043755
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: