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Contact Information

FACIAL PLASTIC SURGERY EARS, NOSE, AND THROAT CLINIC
2220 W ALTO RD
KOKOMO, IN46902-4840
 Phone: 765-455-2577
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery within the Head & Neck

207YX0007X 04 Physician/Otolaryngology
 

Facial Plastic Surgery

207YS0123X 04 Physician/Otolaryngology
 

Otolaryngology/Facial Plastic Surgery

207YX0905X 04 Physician/Otolaryngology
 

Plastic Surgery Within the Head and Neck

2082S0099X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for FACIAL PLASTIC SURGERY EARS, NOSE, AND THROAT CLINIC

NPI Number 1043404296
LBN Legal business name FACIAL PLASTIC SURGERY EARS, NOSE, AND THROAT CLINIC
Authorized official BANIPAL HOVHANESSIAN - (DR./OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/30/2007
Last updated 08/30/2007 - About 19 years ago
Identifiers
IN Other 000000087718 BLUE CROSS
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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