MEDICARE: EDWARD KOCHARIAN,MD.LLC

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	207R00000X	Internal Medicine Physician	35073847	OH

General Provider Information

NPI Number	:	1598775942
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EDWARD KOCHARIAN,MD.LLC

Provider Business Mailing Address
First Line	:	38195 MCDOWELL DR
Second Line	:
City	:	SOLON
State	:	OH
Zip	:	44139-4682
Country	:	US
Telephone Number	:	440-542-0789
Fax Number	:	440-542-0888

Provider Business Practice Location Address
First Line	:	4200 WARRENSVILLE CENTER RD
Second Line	:	SUITE340
City	:	BEACHWOOD
State	:	OH
Zip	:	44122-7051
Country	:	US
Telephone Number	:	216-491-7447
Fax Number	:	216-491-7446

Authorized Official
Title or Position	:	PRESIDENT
Name	:	EDWARD KOCHARIAN
Credential	:	MD
Telephone Number	:	216-262-3151

Provider Enumeration Date	:	08/08/2006
Last Update Date	:	08/22/2020

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