Provider Demographics
NPI:1134166887
Name:KARAKASHIAN, ARAM B (MD)
Entity type:Individual
Prefix:DR
First Name:ARAM
Middle Name:B
Last Name:KARAKASHIAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1510 S CENTRAL AVE
Mailing Address - Street 2:SUITE 130
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91204
Mailing Address - Country:US
Mailing Address - Phone:818-247-3965
Mailing Address - Fax:818-247-6360
Practice Address - Street 1:1510 S CENTRAL AVE
Practice Address - Street 2:SUITE 130
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91204
Practice Address - Country:US
Practice Address - Phone:818-247-3965
Practice Address - Fax:818-247-6360
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA38391207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A383910Medicaid
CAA38391Medicare ID - Type Unspecified
CA00A383910Medicaid