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Hakob Grigor Davtyan, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in San Bernardino, California
NPI 1437180676

Hakob Grigor Davtyan is a Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician based in San Bernardino, CA. Hakob Grigor Davtyan practices in San Bernardino, CA and has the professional credentials of MD. The NPI Number for Hakob Grigor Davtyan is 1437180676 and holds a License No. G54367 (California).

The current practice location address for Hakob Grigor Davtyan is 401 E Highland Ave, San Bernardino, CA and can be reached out via phone at 909-881-1614 and via fax at 909-881-2711. You can also correspond with Hakob Grigor Davtyan through the mailing address at 401 E HIGHLAND AVE, SAN BERNARDINO, CA - 92404-3803 (mailing address contact number: 909-881-1614).

Location: 401 E Highland Ave, San Bernardino, CA, 92404-3803
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437180676
Provider Name
Hakob Grigor Davtyan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
401 E Highland Ave, San Bernardino, CA, 92404-3803
Phone Number
909-881-1614
Fax Number
909-881-2711
Provider Enumeration Date
07/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
031902 01 GA LICENSE
00G543670 05 CA
G54367 01 CA LICENSE
00G543671 01 MEDICARE INDIVIDUAL PTAN
ZZZ07161Z 01 MEDICARE GROUP PTAN
institution
Provider Business Practice Location Address Details
Address
401 E Highland Ave
City
San Bernardino
State
California
Zip
92404-3803
Phone Number
909-881-1614
Fax Number
909-881-2711
person
Provider Business Mailing Address Details
Address
401 E Highland Ave
City
San Bernardino
State
California
Zip
92404-3803
Phone Number
909-881-1614
Fax Number
909-881-2711
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
031902 (Georgia)
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.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Speciality
-
Taxonomy
208G00000X
License No.
G54367 (California)
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
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