Provider Demographics
NPI:1194016204
Name:MANUKIAN, NAIRA LUDWIGOVNA (MD)
Entity Type:Individual
Prefix:DR
First Name:NAIRA
Middle Name:LUDWIGOVNA
Last Name:MANUKIAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:NAIRA
Other - Middle Name:LUDWIGOVNA MANUKIAN
Other - Last Name:MURPHY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:38600 MEDICAL CENTER DR
Mailing Address - Street 2:
Mailing Address - City:PALMDALE
Mailing Address - State:CA
Mailing Address - Zip Code:93551-4483
Mailing Address - Country:US
Mailing Address - Phone:661-382-6140
Mailing Address - Fax:661-381-6183
Practice Address - Street 1:38600 MEDICAL CENTER DR
Practice Address - Street 2:
Practice Address - City:PALMDALE
Practice Address - State:CA
Practice Address - Zip Code:93551-4483
Practice Address - Country:US
Practice Address - Phone:661-382-6140
Practice Address - Fax:661-381-6183
Is Sole Proprietor?:No
Enumeration Date:2011-04-22
Last Update Date:2019-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA124027207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine