Provider Demographics
NPI:1003211699
Name:BAKIRTZIAN, PARSEH
Entity type:Individual
Prefix:DR
First Name:PARSEH
Middle Name:
Last Name:BAKIRTZIAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1650 CEDAR AVENUE
Mailing Address - Street 2:ROOM L8.107
Mailing Address - City:MONTREAL
Mailing Address - State:QUEBEC
Mailing Address - Zip Code:H3G1A4
Mailing Address - Country:CA
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1650 CEDAR AVENUE
Practice Address - Street 2:ROOM L8.107
Practice Address - City:MONTREAL
Practice Address - State:QUEBEC
Practice Address - Zip Code:H3G1A4
Practice Address - Country:CA
Practice Address - Phone:514-613-7533
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-25
Last Update Date:2017-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT042.0008639208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery