MEDICARE: DR. ARA KESHISHIAN 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
1	208600000X	Surgery Physician	A559040	CA

General Provider Information

NPI Number	:	1740251693
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ARA KESHISHIAN MD

Provider Business Mailing Address
First Line	:	10 CONGRESS ST STE 300
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91105-3027
Country	:	US
Telephone Number	:	818-812-7222
Fax Number	:	818-952-0990

Provider Business Practice Location Address
First Line	:	10 CONGRESS ST STE 300
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91105-3027
Country	:	US
Telephone Number	:	818-812-7222
Fax Number	:	818-952-0990

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

Provider Enumeration Date	:	01/30/2006
Last Update Date	:	07/21/2022

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