Provider Demographics
NPI:1639126766
Name:DAYIAN, ARA R (MD)
Entity Type:Individual
Prefix:DR
First Name:ARA
Middle Name:R
Last Name:DAYIAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4801 S BUCKNER BLVD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75227-2304
Mailing Address - Country:US
Mailing Address - Phone:214-381-7700
Mailing Address - Fax:214-381-7702
Practice Address - Street 1:4801 S BUCKNER BLVD
Practice Address - Street 2:SUITE 200
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75227-2304
Practice Address - Country:US
Practice Address - Phone:214-381-7700
Practice Address - Fax:214-381-7702
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-26
Last Update Date:2008-02-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXK2443207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
G50736Medicare UPIN
TX8B8831Medicare ID - Type Unspecified