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Contact Information

CREED MAMIKUNIAN, MD
2401 E 42ND AVE STE 206
ANCHORAGE, AK99508-5228
 Phone: 907-562-1860
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for CREED MAMIKUNIAN MD · (Female)

NPI Number 1609434497
Status Active
Credentials
Entity Individual
Enumeration date 06/05/2019
Last updated 06/05/2019 - About 7 years ago
Sole proprietor 1 Not specified
Identifiers
  • AK Medicaid MD2517
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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