Provider Demographics
NPI:1952565301
Name:MKHITARIAN, ARAM (DO)
Entity type:Individual
Prefix:DR
First Name:ARAM
Middle Name:
Last Name:MKHITARIAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2904 THERESA DR STE 3
Mailing Address - Street 2:
Mailing Address - City:NEWBURY PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91320-3152
Mailing Address - Country:US
Mailing Address - Phone:805-410-4566
Mailing Address - Fax:
Practice Address - Street 1:2904 THERESA DR
Practice Address - Street 2:
Practice Address - City:NEWBURY PARK
Practice Address - State:CA
Practice Address - Zip Code:91320-3137
Practice Address - Country:US
Practice Address - Phone:805-410-4566
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-15
Last Update Date:2020-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101017957207R00000X
CA20A12274207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine