MEDICARE: DR. HAGOP P GHAZARIAN DPM

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	213E00000X	Podiatrist	5901001642	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	4858000160	OTHER		BCBS

General Provider Information

NPI Number	:	1609820331
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HAGOP P GHAZARIAN DPM

Provider Business Mailing Address
First Line	:	8748 PINE ISLAND CT S
Second Line	:
City	:	MATTAWAN
State	:	MI
Zip	:	49071-9555
Country	:	US
Telephone Number	:	269-353-7277
Fax Number	:	269-353-7277

Provider Business Practice Location Address
First Line	:	8748 PINE ISLAND CT S
Second Line	:
City	:	MATTAWAN
State	:	MI
Zip	:	49071-9555
Country	:	US
Telephone Number	:	269-353-7277
Fax Number	:	269-353-7277

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

Provider Enumeration Date	:	05/19/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1205835535 — STEVE ELLIOT REIMAN DO
Practice Location Address:

52375 N MAIN ST
MATTAWAN, MI
49071-9332

Practice Phone: 269-668-3348
Practice Fax:

1891794160 — MARTIN FRIEDRICH HOFFMANN MD
Practice Location Address:

23332 RED ARROW HWY
MATTAWAN, MI
49071-9703

Practice Phone: 269-283-5200
Practice Fax: 269-283-5215

1326047358 — LAURA CATHERINE FORD CNP
Practice Location Address:

52375 N MAIN ST
MATTAWAN, MI
49071-9332

Practice Phone: 269-668-3348
Practice Fax: 269-668-7702

1235122037 — MR. DONALD C JACKS R.PH.
Practice Location Address:

56109 VILLAGE CENTER CIRCLE
MATTAWAN, MI
49071-8368

Practice Phone: 269-668-6801
Practice Fax: 269-668-6802

1801844907 — ANNETTE GENOVESE LCSW
Practice Location Address:

40885 QUAIL ST
MATTAWAN, MI
49071-8350

Practice Phone: 201-615-1540
Practice Fax:

1508899238 — BRONSON NURSING AND REHABILITATION CENTER
Practice Location Address:

23332 RED ARROW HWY
MATTAWAN, MI
49071-9703

Practice Phone: 269-283-5200
Practice Fax: 269-283-5215

Directions to “ DR. HAGOP P GHAZARIAN DPM” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.