Provider Demographics
NPI:1912439191
Name:ARTASHESYAN, ARSHAVIR (MD)
Entity Type:Individual
Prefix:
First Name:ARSHAVIR
Middle Name:
Last Name:ARTASHESYAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5546 LONGLEY LN STE B
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89511-1883
Mailing Address - Country:US
Mailing Address - Phone:775-384-3854
Mailing Address - Fax:561-461-6175
Practice Address - Street 1:5546 LONGLEY LN
Practice Address - Street 2:# B
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89511-1883
Practice Address - Country:US
Practice Address - Phone:775-384-3854
Practice Address - Fax:561-461-6175
Is Sole Proprietor?:No
Enumeration Date:2017-03-28
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV19823207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine