Provider Demographics
NPI:1427156371
Name:CUTUJIAN, BOGHOS HAGOP (MD)
Entity type:Individual
Prefix:DR
First Name:BOGHOS
Middle Name:HAGOP
Last Name:CUTUJIAN
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 1:5706 TURNEY RD STE 302
Mailing Address - Street 2:
Mailing Address - City:GARFIELD HTS
Mailing Address - State:OH
Mailing Address - Zip Code:44125-3971
Mailing Address - Country:US
Mailing Address - Phone:216-663-1133
Mailing Address - Fax:216-663-3161
Practice Address - Street 1:5706 TURNEY RD STE 302
Practice Address - Street 2:
Practice Address - City:GARFIELD HTS
Practice Address - State:OH
Practice Address - Zip Code:44125-3971
Practice Address - Country:US
Practice Address - Phone:216-663-1133
Practice Address - Fax:216-663-3161
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35025421-C208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH1945944Medicaid
OH000000116465OtherANTHEM
OHA73312Medicare UPIN
OH1945944Medicaid