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Tigran V Avakumov

Male

Medical Specialty

Professional ID

NPI: 1891724670
PECOS ID: 0446144612
Enrollment ID: I20060822000646
Credential(MD, DO, DPM): MD
Medical School: University Of South Dakota School Of Medicine
Medical School Graduation Year: 1999

Hospital Service

Hospital CCN1: 050352
Business Name (LBN)1: Barton Memorial Hospital

Medical Practices

Organization Name: South Tahoe Anesthesia Medical Group
Group Practice ID assigned by PECOS: 5698748663
Number of Group Practice member: 8

Location

Address1: 1107 Us Hwy 395 N
Address2:
City: Gardnerville
State: Nevada
Zip Code: 89410
Phone Number: (775)782-1595

Location

Address1: 2170 S Ave
Address2: Med Grp
City: South Lake Tahoe
State: California
Zip Code: 96150
Phone Number: (530)541-3420

Medicare

Medicare Assignment: Yes
Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
Used Electronic health record (EHR):