NPI 1669462107 · live from the CMS NPI Registry
Ara Kassarjian
Radiology, Diagnostic Radiology in Coeur D Alene, ID. National Provider Identifier 1669462107, active.
NPI record
| NPI | 1669462107 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 250 Northwest Blvd, Suite #202, Coeur D Alene, ID 83814 |
| Practice phone | 866-400-4295 |
| Mailing address | 250 Northwest Blvd, Suite 202, Coeur D Alene, ID 83814 |
| Enumerated | October 26, 2005 |
| Last updated | July 8, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology primary | 2085R0202X | 158749 (MA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.