Petrakian, Alexandre A

Petrakian, Alexandre A is an individual health care provider with primary practice located at 1783 Troup Hwy , Tyler TX 75701. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Petrakian, Alexandre A can be contacted via phone (903) 595-2283.

Contact Information

Primary practice address
1783 Troup Hwy Tyler TX 75701
Phone: (903) 595-2283
Fax: (903) 595-1063
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X K6234 Texas
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X K6234 Texas
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X K6234 Texas
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X K6234 Texas

Profile Details

NPI number 1811987654
LBN Legal business name Petrakian, Alexandre A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2005
Last updated Feb 10th, 2023 - about 3 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 1811987654 NPPES
Texas MEDICAID 045057901
Texas Other 060060260
Texas Other 87792Y
Texas Other 045057901
Texas MEDICAID 1776521

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