Provider Demographics
NPI:1386341329
Name:AGABABYAN, KARINA (MA)
Entity type:Individual
Prefix:
First Name:KARINA
Middle Name:
Last Name:AGABABYAN
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:380 RED LION RD STE 237
Mailing Address - Street 2:
Mailing Address - City:HUNTINGDON VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19006-6451
Mailing Address - Country:US
Mailing Address - Phone:267-767-5608
Mailing Address - Fax:267-789-8017
Practice Address - Street 1:380 RED LION RD STE 237
Practice Address - Street 2:
Practice Address - City:HUNTINGDON VALLEY
Practice Address - State:PA
Practice Address - Zip Code:19006-6451
Practice Address - Country:US
Practice Address - Phone:267-767-5608
Practice Address - Fax:267-789-8017
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-09
Last Update Date:2023-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier