Edwin Petrossian
MD | Pediatric Cardiology | Male
Edwin Petrossian, MD is a Stanford, California based Pediatric doctor with medical specialization in
Pediatric Cardiology.
Current practice location of Edwin Petrossian is
300 Pasteur Dr, Stanford, California - 94305-2200. He can be contacted on phone at
650-723-4000.
Edwin Petrossian is a sole proprietor of his business.
NPI number (Unique professional ID) for Edwin Petrossian is
1336160860 which was assigned by NPPES on 21 Jul, 2006 and it was last updated on 13 Jan, 2010.
Edwin Petrossian license number is
G81847 for Pediatrics Pediatric Cardiology (2080P0202X) in California.
Edwin Petrossian provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Complete Profile:
Edwin Petrossian basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Cardiology |
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| Provider Name : | Edwin Petrossian |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Edwin Petrossian address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 300 Pasteur Dr
Stanford, CA, 94305-2200
United States |
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| Phone Number : | 650-723-4000 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1336160860 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 21 Jul, 2006 |
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| Last Updated On : | 13 Jan, 2010 |
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Medicare Participation:
Edwin Petrossian participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 4082711262 |
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| Medicare Enrollment ID : | I20070523000195 |
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| Primary Specialty : | Thoracic Surgery |
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| Medical School : | Northwestern University Feinberg Medical School |
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| Graduation Year : | 1988 |
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| Accepts Medicare? | Yes. Edwin Petrossian accepts medicare insurance. |
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Group Practice Association:
Edwin Petrossian is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Edwin Petrossian is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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| Lpch Medical Group Div Of Lucile | 0840298543 | 226 | 725 Welch Rd
Palo Alto, CA - 943041601
Ph: 6504987200 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Edwin Petrossian are as mentioned. Primary taxonomy code for Edwin Petrossian, MD is
2080P0202X (Pediatrics Pediatric Cardiology).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080P0202X | Pediatrics Pediatric Cardiology | Yes | G81847 | CA |
Legacy Identifiers:
Other legacy medical identifiers of Edwin Petrossian such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 00G818470 | MEDICAID | CA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 300 Pasteur Dr
Stanford, CA, 94305-2200
United States |
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Business Location:
Patients can refer following map for directions to
Edwin Petrossian practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.