Provider Demographics
NPI:1164952941
Name:SAHAKYAN, MARTIN ARAYIKOVICH (MD)
Entity Type:Individual
Prefix:DR
First Name:MARTIN
Middle Name:ARAYIKOVICH
Last Name:SAHAKYAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41750 RANCHO LAS PALMAS DR STE F-2
Mailing Address - Street 2:
Mailing Address - City:RANCHO MIRAGE
Mailing Address - State:CA
Mailing Address - Zip Code:92270-5511
Mailing Address - Country:US
Mailing Address - Phone:818-441-2177
Mailing Address - Fax:
Practice Address - Street 1:41750 RANCHO LAS PALMAS DR STE F-2
Practice Address - Street 2:
Practice Address - City:RANCHO MIRAGE
Practice Address - State:CA
Practice Address - Zip Code:92270-5511
Practice Address - Country:US
Practice Address - Phone:818-441-2177
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-14
Last Update Date:2021-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAR-10929207Q00000X
CAA169931207QA0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0401XAllopathic & Osteopathic PhysiciansFamily MedicineAddiction Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine