Basic Information
Provider Information
NPI: 1790789154
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KAJOIAN
FirstName: ARMINEH
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 4513 WILLIAMS DR
Address2:  
City: GEORGETOWN
State: TX
PostalCode: 786331302
CountryCode: US
TelephoneNumber: 5129303909
FaxNumber: 5128695868
Practice Location
Address1: 7801 N LAMAR BLVD STE D8182
Address2:  
City: AUSTIN
State: TX
PostalCode: 787521016
CountryCode: US
TelephoneNumber: 5128683376
FaxNumber: 5125025366
Other Information
ProviderEnumerationDate: 06/13/2005
LastUpdateDate: 12/20/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 12/20/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207ND0900XJ7301TXN Allopathic & Osteopathic PhysiciansDermatologyDermatopathology
207ZP0102XJ7301TXY Allopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology

No ID Information.


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