Provider Demographics
NPI:1386381903
Name:PI URGENT MD INC
Entity type:Organization
Organization Name:PI URGENT MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KRIKOR
Authorized Official - Middle Name:B
Authorized Official - Last Name:TATOYAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:818-373-0200
Mailing Address - Street 1:5651 SEPULVEDA BLVD STE 102
Mailing Address - Street 2:
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91411-2954
Mailing Address - Country:US
Mailing Address - Phone:818-373-0200
Mailing Address - Fax:818-373-0215
Practice Address - Street 1:5651 SEPULVEDA BLVD STE 102
Practice Address - Street 2:
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91411-2954
Practice Address - Country:US
Practice Address - Phone:818-373-0200
Practice Address - Fax:818-373-0215
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-16
Last Update Date:2022-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty