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SHAGEN ABOVYAN MD
>> Specialist >> Other Service ProvidersRegistrant NPI Number: 1285827139
Individual Registrant: SHAGEN ABOVYAN MD
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
1608 EAST COMMERCIAL BOULEVARD FORT LAUDERDALE, FL 33334 US
Tel: 954-489-1345 Fax: 954-489-1052
Tel: 954-489-1345 Fax: 954-489-1052
Contact information for business:
1608 E COMMERCIAL BLVD OAKLAND PARK, FL 33334-5719 US
Tel: 954-489-1345 Fax: 954-489-1052
Tel: 954-489-1345 Fax: 954-489-1052
Registration Information:
NPI: 1285827139
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 174400000X | Other Service Providers Specialist | FL | ME48709 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| MEDICARE ID | 02774Z | FL | 01 |
