Provider Demographics
NPI:1922010388
Name:KARCHIKIAN, SILVA (MD)
Entity Type:Individual
Prefix:MS
First Name:SILVA
Middle Name:
Last Name:KARCHIKIAN
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 1:410 ARDEN AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91203-1127
Mailing Address - Country:US
Mailing Address - Phone:818-549-9305
Mailing Address - Fax:818-502-8600
Practice Address - Street 1:410 ARDEN AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91203-1127
Practice Address - Country:US
Practice Address - Phone:818-549-9305
Practice Address - Fax:818-502-8600
Is Sole Proprietor?:No
Enumeration Date:2006-08-13
Last Update Date:2014-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA40855208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A408550Medicaid
A85521Medicare UPIN
CAA40855BMedicare ID - Type Unspecified