JACK AVEDIKIAN MD – NPI #1194354993
Surgery

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

JACK AVEDIKIAN is a surgeon located in WYANDOTTE, MI. NPPES has assigned the NPI number 1194354993 to JACK AVEDIKIAN on April 03, 2020. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208600000X from the Health Care Provider Taxonomy code set, which is classified as Surgery.

The NPI profile was previously updated about 6 years ago on Nov 07, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JACK AVEDIKIAN below.

NPI Profile for
JACK AVEDIKIAN

NPI Number
1194354993
Enumeration Date

(more than 6 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JACK AVEDIKIAN
Credentials
MD
Primary location
2333 BIDDLE AVE
WYANDOTTE, MI 48192-4668
Phone: (734) 246-8004 Fax:
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Nov 07, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208600000X
- Surgery (Primary)
MI 4351046535
390200000X
- Student in an Organized Health Care Education/Training Program

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.