Provider Demographics
NPI:1134306830
Name:SAHAKIAN, ANN R (MD)
Entity Type:Individual
Prefix:DR
First Name:ANN
Middle Name:R
Last Name:SAHAKIAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ANN
Other - Middle Name:R
Other - Last Name:BUOTE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:133 N ALTADENA DR
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91107-7325
Mailing Address - Country:US
Mailing Address - Phone:626-397-8300
Mailing Address - Fax:626-397-8337
Practice Address - Street 1:1346 FOOTHILL BLVD
Practice Address - Street 2:SUITE 201
Practice Address - City:LA CANADA FLINTRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91011-2122
Practice Address - Country:US
Practice Address - Phone:818-790-5583
Practice Address - Fax:818-790-9517
Is Sole Proprietor?:No
Enumeration Date:2008-01-24
Last Update Date:2014-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT047558208000000X
CAA98767208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics