Provider Demographics
NPI:1851407118
Name:CHOBANIAN, MARGARETHE M (MD)
Entity Type:Individual
Prefix:
First Name:MARGARETHE
Middle Name:M
Last Name:CHOBANIAN
Suffix:
Gender:F
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:P.O. BOX 338
Mailing Address - Street 2:LITTLE RIVERS HEALTH CARE, INC.
Mailing Address - City:BRADFORD
Mailing Address - State:VT
Mailing Address - Zip Code:05033
Mailing Address - Country:US
Mailing Address - Phone:802-222-4637
Mailing Address - Fax:802-222-5674
Practice Address - Street 1:437 SOUTH MAIN ST
Practice Address - Street 2:
Practice Address - City:BRADFORD
Practice Address - State:VT
Practice Address - Zip Code:05033
Practice Address - Country:US
Practice Address - Phone:802-222-9317
Practice Address - Fax:802-222-9276
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2011-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT0420010975208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT1011799Medicaid
VT1011799Medicaid
VTH43045Medicare UPIN
VTVN384801Medicare PIN