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
Provider Name :Edwin Petrossian
Credential :MD
Gender :Male
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
Phone Number :650-723-4000
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
NPI Entity Type : Individual
First Enrolment Date : 21 Jul, 2006
Last Updated On : 13 Jan, 2010
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
Medicare Enrollment ID :I20070523000195
Primary Specialty :Thoracic Surgery
Medical School :Northwestern University Feinberg Medical School
Graduation Year :1988
Accepts Medicare?Yes. Edwin Petrossian accepts medicare insurance.
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 IDNo. of MembersPractice AddressGroup Accepts Medicare
Lpch Medical Group Div Of Lucile0840298543226725 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 SpecialityPrimaryLicense No.State
2080P0202XPediatrics Pediatric CardiologyYesG81847CA
Legacy Identifiers:
Other legacy medical identifiers of Edwin Petrossian such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
IdentifierIdentifier TypeStateIssuer
00G818470MEDICAIDCA
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
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.