Provider Demographics
NPI:1811526502
Name:AVDIC, ARMIN (MD)
Entity type:Individual
Prefix:
First Name:ARMIN
Middle Name:
Last Name:AVDIC
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:820 OLDE MACABE CIR
Mailing Address - Street 2:
Mailing Address - City:CORALVILLE
Mailing Address - State:IA
Mailing Address - Zip Code:52241-1780
Mailing Address - Country:US
Mailing Address - Phone:319-499-2281
Mailing Address - Fax:
Practice Address - Street 1:533 BOLIVAR ST RM 451B
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70112-1349
Practice Address - Country:US
Practice Address - Phone:504-568-2242
Practice Address - Fax:504-568-2385
Is Sole Proprietor?:No
Enumeration Date:2020-04-03
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LA323298207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology