Provider Demographics
NPI:1659128718
Name:DAVTYAN, HARUTYUN (MD)
Entity type:Individual
Prefix:MR
First Name:HARUTYUN
Middle Name:
Last Name:DAVTYAN
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UNIVERSITY OF TENNESSEE HEALTH SCIENCE CENTER
Mailing Address - Street 2:920 MADISON AVENUE, SUITE 447
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38163
Mailing Address - Country:US
Mailing Address - Phone:901-448-5364
Mailing Address - Fax:901-448-6182
Practice Address - Street 1:REGIONAL ONE HEALTH FIREFIGHTERS BURN CENTER
Practice Address - Street 2:890 MADISON AVENUE
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38103
Practice Address - Country:US
Practice Address - Phone:800-351-3434
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-06
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program