Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204C00000X | Sports Medicine Doctor | D7609 | TX |
N | 207RC0000X | Internist - Cardiovascular Disease | D7609 | TX |
NPI | 1154341865 |
---|---|
Provider Name | Sarkis J Kechejian |
First Address | Dallas, TX 75220-2105 |
Second Address | Dallas, TX 75208-2326 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
888471 | (02) | TX |
D23877 | (02) | TX |