Provider Demographics
NPI:1528324035
Name:MIKAELIAN, ARAKEL AKASHAY (PARAMEDIC)
Entity type:Individual
Prefix:MR
First Name:ARAKEL
Middle Name:AKASHAY
Last Name:MIKAELIAN
Suffix:
Gender:M
Credentials:PARAMEDIC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 BLODGETT AVE
Mailing Address - Street 2:
Mailing Address - City:PAWTUCKET
Mailing Address - State:RI
Mailing Address - Zip Code:02860-5621
Mailing Address - Country:US
Mailing Address - Phone:401-323-8762
Mailing Address - Fax:401-723-6287
Practice Address - Street 1:31 BLODGETT AVE
Practice Address - Street 2:
Practice Address - City:PAWTUCKET
Practice Address - State:RI
Practice Address - Zip Code:02860-5621
Practice Address - Country:US
Practice Address - Phone:401-323-8762
Practice Address - Fax:401-723-6287
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-09
Last Update Date:2012-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIEMT13060146L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, Paramedic