Provider Demographics
NPI:1649360090
Name:KOSYAN, ANTRANIK V (CSA)
Entity type:Individual
Prefix:MR
First Name:ANTRANIK
Middle Name:V
Last Name:KOSYAN
Suffix:
Gender:M
Credentials:CSA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22755 E BELLEVIEW PL
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80015-6552
Mailing Address - Country:US
Mailing Address - Phone:720-231-4256
Mailing Address - Fax:303-699-3201
Practice Address - Street 1:22755 E BELLEVIEW PL
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80015-6552
Practice Address - Country:US
Practice Address - Phone:720-231-4256
Practice Address - Fax:303-699-3201
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-14
Last Update Date:2008-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant