MEDICARE: MS. OGANES ABRAMYAN

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
1	261QS1200X	Sleep Disorder Diagnostic Clinic/Center

General Provider Information

NPI Number	:	1528114998
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. OGANES ABRAMYAN

Provider Business Mailing Address
First Line	:	6036 N 19TH AVE STE 503
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85015-2143
Country	:	US
Telephone Number	:	602-246-0763
Fax Number	:

Provider Business Practice Location Address
First Line	:	6036 N 19TH AVE STE 503
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85015-2143
Country	:	US
Telephone Number	:	602-246-0763
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/26/2007
Last Update Date	:	07/08/2007

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