Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Gevorg Ghazaryan, MD

Individual provider Internal Medicine Physician · NPI 1629288329

Gevorg Ghazaryan, MD is an Internal Medicine in Glendale, California. Qualified in 1988, 38 years ago. Accepts Medicare assignment. Licensed in California.

Years since qualifying
38
Licensed in
CA
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1100 E Broadway Ste 205
Glendale, CA 91205-2490
Phone: (818) 453-5192
Fax: (818) 452-0716
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence A104857 (CA)
Internal Medicine Physician Taxonomy 207R00000X · Licence A104857 (CA)

Record details

NPI number1629288329
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 23, 2007
Last updated in NPPESJune 9, 2024
Certification dateJune 9, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1988 (38 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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