Provider Demographics
NPI:1982683421
Name:SARKISSIAN, HAGOP YEGHIA (MD)
Entity Type:Individual
Prefix:DR
First Name:HAGOP
Middle Name:YEGHIA
Last Name:SARKISSIAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:HAGOP
Other - Middle Name:ARTIN
Other - Last Name:YEGHIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:13885 SIENA LOOP
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD RANCH
Mailing Address - State:FL
Mailing Address - Zip Code:34202-2445
Mailing Address - Country:US
Mailing Address - Phone:818-415-1439
Mailing Address - Fax:
Practice Address - Street 1:13885 SIENA LOOP
Practice Address - Street 2:
Practice Address - City:LAKEWOOD RANCH
Practice Address - State:FL
Practice Address - Zip Code:34202-2445
Practice Address - Country:US
Practice Address - Phone:818-415-1439
Practice Address - Fax:941-283-8096
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-12
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV16416207R00000X
HIMD18579207R00000X
CAA67168207R00000X
FLME127745207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine