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Banipal Hovhanessian, MD
Specialist in Kokomo, Indiana
NPI 1639120371

Banipal Hovhanessian is a Specialist based in Indianapolis, IN. Banipal Hovhanessian practices in Kokomo, IN and has the professional credentials of MD. The NPI Number for Banipal Hovhanessian is 1639120371 and holds a License No. (Indiana).

The current practice location address for Banipal Hovhanessian is 2220 W Alto Rd, Kokomo, IN and can be reached out via phone at 765-455-2577 and via fax at 765-455-0214.

Location: 2220 W Alto Rd, Kokomo, IN, 46250-2805
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639120371
Provider Name
Banipal Hovhanessian
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2220 W Alto Rd, Kokomo, IN, 46250-2805
Phone Number
765-455-2577
Fax Number
765-455-0214
Provider Enumeration Date
05/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100137220A 05 IN
P01270971 01 IN RR MEDICARE
institution
Provider Business Practice Location Address Details
Address
2220 W Alto Rd
City
Kokomo
State
Indiana
Zip
46902-4840
Phone Number
765-455-2577
Fax Number
765-455-0214
person
Provider Business Mailing Address Details
Address
2220 W Alto Rd
City
Kokomo
State
Indiana
Zip
46902-4840
Phone Number
765-455-2577
Fax Number
765-455-0214
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
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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