Provider Demographics
NPI:1508123514
Name:KAZAZIAN, KIRKOR (MD)
Entity Type:Individual
Prefix:
First Name:KIRKOR
Middle Name:
Last Name:KAZAZIAN
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 1:7 BARRANCO CT
Mailing Address - Street 2:
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21204-4203
Mailing Address - Country:US
Mailing Address - Phone:917-664-2527
Mailing Address - Fax:
Practice Address - Street 1:7 BARRANCO CT
Practice Address - Street 2:
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204-4203
Practice Address - Country:US
Practice Address - Phone:917-664-2527
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-15
Last Update Date:2012-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD19568207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology