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NPI Code Detail

MEDICARE: YVETTE BAZIKIAN MD

MEDICARE: YVETTE BAZIKIAN MD
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
1207R00000XInternal Medicine PhysicianME92928FL

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 : 1073507000
Entity Type Code : Individual
Provider Name (Legal Business Name) : YVETTE BAZIKIAN MD
Provider Business Mailing Address
First Line : 1510 NW 107TH TER
Second Line :
City : GAINESVILLE
State : FL
Zip : 32606-5768
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6500 W NEWBERRY RD
Second Line :
City : GAINESVILLE
State : FL
Zip : 32605-4309
Country : US
Telephone Number : 352-380-2287
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/06/2005
Last Update Date : 01/28/2008

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Directions to “ YVETTE BAZIKIAN MD” Practice Location

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