NPI | 1811239627 |
---|---|
Former Legal Business Name | GEVORG SEDRAKYAN PC MD |
Entity Type | Organization |
Authorized Contact | GEVORG SEDRAKYAN Founder 571-308-6776 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Additional Taxonomies | 207R00000X Internal Medicine |
Enumeration Date | 2013-03-19 |
Last Update Date | 2017-01-26 |