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NPI Code Detail

MEDICARE: DR. VARUJAN AREK KELEDJIAN M.D.

MEDICARE: DR. VARUJAN AREK KELEDJIAN M.D.
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
1207RG0100XGastroenterology PhysicianA046647CA

General Provider Information

NPI Number : 1508831678
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. VARUJAN AREK KELEDJIAN M.D.
Provider Business Mailing Address
First Line : 1450 TREAT BLVD STE 300
Second Line :
City : WALNUT CREEK
State : CA
Zip : 94597-2168
Country : US
Telephone Number : 925-952-2828
Fax Number : 925-754-0765
Provider Business Practice Location Address
First Line : 1479 YGNACIO VALLEY RD STE 150
Second Line :
City : WALNUT CREEK
State : CA
Zip : 94598-2954
Country : US
Telephone Number : 925-296-7340
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/21/2006
Last Update Date : 12/11/2024

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