Provider Demographics
NPI:1447441498
Name:PAPAZIAN, GREGORY KEVORK (MD)
Entity type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:KEVORK
Last Name:PAPAZIAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:98 PLEASANT ST
Mailing Address - Street 2:
Mailing Address - City:DORCHESTER
Mailing Address - State:MA
Mailing Address - Zip Code:02125-1528
Mailing Address - Country:US
Mailing Address - Phone:508-873-2971
Mailing Address - Fax:
Practice Address - Street 1:98 PLEASANT ST
Practice Address - Street 2:
Practice Address - City:DORCHESTER
Practice Address - State:MA
Practice Address - Zip Code:02125-1528
Practice Address - Country:US
Practice Address - Phone:508-873-2971
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-06
Last Update Date:2007-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA232229207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine