Provider Demographics
NPI:1437394160
Name:KIRAKOSIAN, ARMAN A (DPM)
Entity Type:Individual
Prefix:DR
First Name:ARMAN
Middle Name:A
Last Name:KIRAKOSIAN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:883 SNEATH LN
Mailing Address - Street 2:STE 160
Mailing Address - City:SAN BRUNO
Mailing Address - State:CA
Mailing Address - Zip Code:94066-2409
Mailing Address - Country:US
Mailing Address - Phone:650-588-9189
Mailing Address - Fax:
Practice Address - Street 1:560 JENEVEIN AVE
Practice Address - Street 2:
Practice Address - City:SAN BRUNO
Practice Address - State:CA
Practice Address - Zip Code:94066-4408
Practice Address - Country:US
Practice Address - Phone:650-588-9189
Practice Address - Fax:650-588-2814
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-09
Last Update Date:2019-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAE4853213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery