Provider Demographics
NPI:1982841110
Name:HOMAT, ARMAN (MD)
Entity Type:Individual
Prefix:
First Name:ARMAN
Middle Name:
Last Name:HOMAT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:ARMAN
Other - Middle Name:
Other - Last Name:KESHAVARZIAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:233 BEECROFT RD APT 1810
Mailing Address - Street 2:
Mailing Address - City:TORONTO
Mailing Address - State:ONTARIO
Mailing Address - Zip Code:M2N 6Z9
Mailing Address - Country:CA
Mailing Address - Phone:1205-588-6987
Mailing Address - Fax:
Practice Address - Street 1:701 N 1ST ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:IL
Practice Address - Zip Code:62702-3757
Practice Address - Country:US
Practice Address - Phone:217-545-0182
Practice Address - Fax:217-545-4735
Is Sole Proprietor?:No
Enumeration Date:2009-01-09
Last Update Date:2010-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL125-055589207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine