Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207ND0900X | Dermatopathologist | J7301 | TX |
NPI | 1790789154 |
---|---|
Provider Name | Dr. Armineh Kajoian |
First Address | Georgetown, TX 78633-1302 |
Second Address | Austin, TX 78752-1016 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2005 |
Last Update Date | 20/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G70162 | (02) | TX |