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Stacey L Bahian-khatchadourian, MED
Specialist in Providence, Rhode Island
NPI 1316128010

Stacey L Bahian-khatchadourian is a Specialist based in Providence, RI. Stacey L Bahian-khatchadourian practices in Providence, RI and has the professional credentials of MED. The NPI Number for Stacey L Bahian-khatchadourian is 1316128010 and holds a License No. (Rhode Island).

The current practice location address for Stacey L Bahian-khatchadourian is 1000 Eddy St, Providence, RI and can be reached out via phone at 401-533-9100.

Location: 1000 Eddy St, Providence, RI, 02905-4739
person
Provider Profile Details
NPI Number
1316128010
Provider Name
Stacey L Bahian-khatchadourian
Credential
MED
Provider Entity Type
Individual
Gender
Female
Address
1000 Eddy St, Providence, RI, 02905-4739
Phone Number
401-533-9100
Fax Number
Provider Enumeration Date
11/21/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6400144 01 RI EI UNITED
2092 01 RI EINHPRC
292177 01 RI EI BLUE CROSS
412296 01 RI EI BLUE CHIP
institution
Provider Business Practice Location Address Details
Address
1000 Eddy St
City
State
Zip
02905-4739
Phone Number
401-533-9100
Fax Number
person
Provider Business Mailing Address Details
Address
1000 Eddy St
City
State
Zip
02905-4739
Phone Number
401-533-9100
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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