Provider Demographics
NPI:1992751515
Name:YENI-KOMSHIAN, HAIG HOVSEP (MD)
Entity type:Individual
Prefix:DR
First Name:HAIG
Middle Name:HOVSEP
Last Name:YENI-KOMSHIAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7302 BURDETTE CT
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20817-2907
Mailing Address - Country:US
Mailing Address - Phone:301-656-5920
Mailing Address - Fax:301-654-2559
Practice Address - Street 1:5530 WISCONSIN AVE
Practice Address - Street 2:715
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815-4404
Practice Address - Country:US
Practice Address - Phone:301-656-5920
Practice Address - Fax:301-654-2559
Is Sole Proprietor?:No
Enumeration Date:2006-05-25
Last Update Date:2007-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD00205125207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD00B856H21Medicare PIN