Provider Demographics
NPI:1821704206
Name:PASKEVICHYAN, SATENIK
Entity Type:Individual
Prefix:
First Name:SATENIK
Middle Name:
Last Name:PASKEVICHYAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3353 BRADSHAW RD STE 210
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95827-2610
Mailing Address - Country:US
Mailing Address - Phone:916-303-3309
Mailing Address - Fax:
Practice Address - Street 1:3353 BRADSHAW RD STE 210
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95827-2610
Practice Address - Country:US
Practice Address - Phone:916-303-3309
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-27
Last Update Date:2023-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies