Provider Demographics
NPI:1003937954
Name:SILVA KARCHIKIAN, M.D.
Entity Type:Organization
Organization Name:SILVA KARCHIKIAN, M.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL PRACTICE
Authorized Official - Prefix:
Authorized Official - First Name:SILVA
Authorized Official - Middle Name:
Authorized Official - Last Name:KARCHIKIAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:818-549-9305
Mailing Address - Street 1:410 ARDEN AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91203-1127
Mailing Address - Country:US
Mailing Address - Phone:818-549-9305
Mailing Address - Fax:818-502-8600
Practice Address - Street 1:410 ARDEN AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91203-1916
Practice Address - Country:US
Practice Address - Phone:818-549-9305
Practice Address - Fax:818-662-8812
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-02
Last Update Date:2014-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA40855207R00000X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA=========Medicare ID - Type Unspecified