MEDICARE: ARSHAVIR ARTASHESYAN M.D.

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	19823	NV

General Provider Information

NPI Number	:	1912439191
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARSHAVIR ARTASHESYAN M.D.

Provider Business Mailing Address
First Line	:	5546 LONGLEY LN STE B
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89511-1883
Country	:	US
Telephone Number	:	775-384-3854
Fax Number	:	561-461-6175

Provider Business Practice Location Address
First Line	:	5546 LONGLEY LN
Second Line	:	# B
City	:	RENO
State	:	NV
Zip	:	89511-1883
Country	:	US
Telephone Number	:	775-384-3854
Fax Number	:	561-461-6175

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

Provider Enumeration Date	:	03/28/2017
Last Update Date	:	12/19/2022

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