Provider Demographics
NPI:1073627519
Name:AVAKIAN, ARPENIK (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:ARPENIK
Middle Name:
Last Name:AVAKIAN
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21616 76TH AVE W
Mailing Address - Street 2:STE 104
Mailing Address - City:EDMONDS
Mailing Address - State:WA
Mailing Address - Zip Code:98026-7512
Mailing Address - Country:US
Mailing Address - Phone:425-275-9975
Mailing Address - Fax:425-275-9964
Practice Address - Street 1:21616 76TH AVE W
Practice Address - Street 2:STE 104
Practice Address - City:EDMONDS
Practice Address - State:WA
Practice Address - Zip Code:98026-7512
Practice Address - Country:US
Practice Address - Phone:425-275-9975
Practice Address - Fax:425-275-9964
Is Sole Proprietor?:No
Enumeration Date:2006-08-19
Last Update Date:2011-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00036540207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8114357Medicaid
WAAB17378Medicare ID - Type Unspecified
WA8114357Medicaid