Provider Demographics
NPI:1730472010
Name:KARAPETYAN, ARAGATS (SUPPLY)
Entity Type:Individual
Prefix:
First Name:ARAGATS
Middle Name:
Last Name:KARAPETYAN
Suffix:
Gender:M
Credentials:SUPPLY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2101 S DECATUR BLVD STE 15
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89102-8515
Mailing Address - Country:US
Mailing Address - Phone:702-878-4400
Mailing Address - Fax:702-878-4100
Practice Address - Street 1:2101 S DECATUR BLVD STE 15
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-8515
Practice Address - Country:US
Practice Address - Phone:702-878-4400
Practice Address - Fax:702-878-4100
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-19
Last Update Date:2011-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVH1300372-1-150082332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies