Provider Demographics
NPI:1952498768
Name:HEKIMIAN, KARL J (MD)
Entity Type:Individual
Prefix:MR
First Name:KARL
Middle Name:J
Last Name:HEKIMIAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1775 W. ST MARY'S RD
Mailing Address - Street 2:SUITE 111
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85745-2655
Mailing Address - Country:US
Mailing Address - Phone:520-326-3624
Mailing Address - Fax:520-318-5208
Practice Address - Street 1:1775 W. ST MARY'S RD
Practice Address - Street 2:SUITE 111
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85745-2655
Practice Address - Country:US
Practice Address - Phone:520-326-3624
Practice Address - Fax:520-318-5208
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-05
Last Update Date:2011-01-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ245912082S0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2082S0105XAllopathic & Osteopathic PhysiciansPlastic SurgerySurgery of the Hand
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ27525Medicare ID - Type Unspecified