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NPI Code Detail

MEDICARE: ARMEN MARTIROSIAN MD

MEDICARE: ARMEN MARTIROSIAN 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
1207XX0801XOrthopaedic Trauma PhysicianA103597CA
2207X00000XOrthopaedic Surgery PhysicianA103597CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1310389OTHERFLAVMED
296424OTHERFLBCBS FLORIDA
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1114087046
Entity Type Code : Individual
Provider Name (Legal Business Name) : ARMEN MARTIROSIAN MD
Provider Business Mailing Address
First Line : 2625 E DIVISADERO ST
Second Line :
City : FRESNO
State : CA
Zip : 93721-1431
Country : US
Telephone Number : 559-443-2682
Fax Number : 559-443-2681
Provider Business Practice Location Address
First Line : 604 N MAGNOLIA AVE STE 100
Second Line :
City : CLOVIS
State : CA
Zip : 93611-9205
Country : US
Telephone Number : 559-320-0531
Fax Number : 559-320-0539
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/11/2006
Last Update Date : 11/04/2019

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Directions to “ ARMEN MARTIROSIAN MD” Practice Location

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