Provider Demographics
NPI:1407739956
Name:BEGLARYAN, ANUSH
Entity type:Individual
Prefix:
First Name:ANUSH
Middle Name:
Last Name:BEGLARYAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6272 PINYON PINE CT
Mailing Address - Street 2:
Mailing Address - City:SYKESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21784-4922
Mailing Address - Country:US
Mailing Address - Phone:443-760-1809
Mailing Address - Fax:
Practice Address - Street 1:3458 ELLICOTT CENTER DR
Practice Address - Street 2:
Practice Address - City:ELLICOTT CITY
Practice Address - State:MD
Practice Address - Zip Code:21043-4178
Practice Address - Country:US
Practice Address - Phone:443-870-8536
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-30
Last Update Date:2025-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD7301124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist