Koobatian, Gregor J
Koobatian, Gregor J is an individual health care provider with primary practice located at 410 Saybrook Rd Suite 201, Middletown CT 06457. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Koobatian, Gregor J can be contacted via phone (860) 347-4620.Contact Information
Primary practice address
410 Saybrook Rd Suite 201
Middletown CT 06457
Phone: (860) 347-4620
Fax: (860) 346-9687
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 038341 | Connecticut |
Profile Details
| NPI number | 1609833730 |
|---|---|
| LBN Legal business name | Koobatian, Gregor J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 1st, 2006 |
| Last updated | Mar 25th, 2015 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609833730 | NPPES |
| Connecticut | MEDICAID | 001383413 |
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