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NPI Code Detail

MEDICARE: TONY ANTRANIK SARKISSIAN MD

MEDICARE: TONY ANTRANIK SARKISSIAN 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
1207Q00000XFamily Medicine PhysicianA80143CA

General Provider Information

NPI Number : 1508901919
Entity Type Code : Individual
Provider Name (Legal Business Name) : TONY ANTRANIK SARKISSIAN MD
Provider Business Mailing Address
First Line : 3968 N RANCHO DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89130-3412
Country : US
Telephone Number : 702-791-9020
Fax Number :
Provider Business Practice Location Address
First Line : 3968 N RANCHO DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89130-3412
Country : US
Telephone Number : 702-791-9020
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/21/2007
Last Update Date : 07/05/2023

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