Provider Demographics
NPI:1336297290
Name:NISHANIAN, GARABED P (MD)
Entity type:Individual
Prefix:
First Name:GARABED
Middle Name:P
Last Name:NISHANIAN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:16100 SAND CANYON AVE
Mailing Address - Street 2:SUITE #350
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92618-3716
Mailing Address - Country:US
Mailing Address - Phone:949-429-8840
Mailing Address - Fax:949-347-9647
Practice Address - Street 1:16100 SAND CANYON AVE
Practice Address - Street 2:SUITE #350
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92618-3716
Practice Address - Country:US
Practice Address - Phone:949-429-8840
Practice Address - Fax:949-347-9647
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2015-10-15
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Provider Licenses
StateLicense IDTaxonomies
CAA525372086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery