MEDICARE: MAIJA QI ADOURIAN D.O.

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	207Q00000X	Family Medicine Physician	OS025547	PA

General Provider Information

NPI Number	:	1770285645
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAIJA QI ADOURIAN D.O.

Provider Business Mailing Address
First Line	:	1200 OLD YORK RD
Second Line	:
City	:	ABINGTON
State	:	PA
Zip	:	19001-3788
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9501 ROOSEVELT BLVD STE 206B
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19114-1027
Country	:	US
Telephone Number	:	215-671-8900
Fax Number	:

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

Provider Enumeration Date	:	03/21/2023
Last Update Date	:	05/27/2026

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