Basic Information
Provider Information
NPI: 1063777951
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BEGLARYAN
FirstName: DENNIS
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: D.O.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 940 NE 13TH ST
Address2:  
City: OKLAHOMA CITY
State: OK
PostalCode: 731045008
CountryCode: US
TelephoneNumber: 4052715125
FaxNumber:  
Practice Location
Address1: 38600 MEDICAL CENTER DR
Address2:  
City: PALMDALE
State: CA
PostalCode: 93551
CountryCode: US
TelephoneNumber: 6613825000
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/07/2012
LastUpdateDate: 07/22/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2085R0202X20A15669CAN Allopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
2085R0204X20A15669CAY Allopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology

No ID Information.


Home