Kabakjian, Robert

Kabakjian, Robert is an individual health care provider with primary practice located at 15 Exchange Dr , Lugoff SC 29078-9198. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Kabakjian, Robert can be contacted via phone (803) 408-3277.

Contact Information

Primary practice address
15 Exchange Dr Lugoff SC 29078-9198
Phone: (803) 408-3277
Fax: (803) 408-3277
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA06494 Texas
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X TL606 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA606 South Carolina

Profile Details

NPI number 1861499618
LBN Legal business name Kabakjian, Robert
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated May 26th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861499618 NPPES
South Carolina MEDICAID 1551PA

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