Provider Demographics
NPI:1578901161
Name:KOSHKARIAN, HAIG ARAM (MD)
Entity Type:Individual
Prefix:DR
First Name:HAIG
Middle Name:ARAM
Last Name:KOSHKARIAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1020 PROSPECT ST
Mailing Address - Street 2:
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92037-0068
Mailing Address - Country:US
Mailing Address - Phone:858-459-3696
Mailing Address - Fax:858-270-6677
Practice Address - Street 1:1020 PROSPECT ST
Practice Address - Street 2:
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037-0068
Practice Address - Country:US
Practice Address - Phone:858-459-3696
Practice Address - Fax:858-270-6677
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-05
Last Update Date:2013-06-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG146512084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry