Provider Demographics
NPI:1447699145
Name:AKOGHLANIAN, GARABET (MD)
Entity type:Individual
Prefix:DR
First Name:GARABET
Middle Name:
Last Name:AKOGHLANIAN
Suffix:
Gender:
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:PO BOX 58538
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:TX
Mailing Address - Zip Code:77598-8538
Mailing Address - Country:US
Mailing Address - Phone:346-739-8020
Mailing Address - Fax:346-245-8345
Practice Address - Street 1:4615 SOUTHWEST FWY STE 1000
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77027-7108
Practice Address - Country:US
Practice Address - Phone:346-739-8020
Practice Address - Fax:346-245-8345
Is Sole Proprietor?:No
Enumeration Date:2013-06-17
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXU0544207R00000X, 207RI0200X
FLME153360207RI0200X
LA310297207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL112838800Medicaid
LA2337556Medicaid