Provider Demographics
NPI:1538453170
Name:COHEN, ARLAN AVROM (MD)
Entity type:Individual
Prefix:DR
First Name:ARLAN
Middle Name:AVROM
Last Name:COHEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1008 S OAKLAND AVE
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91106-4337
Mailing Address - Country:US
Mailing Address - Phone:626-449-9209
Mailing Address - Fax:626-449-4449
Practice Address - Street 1:1008 S OAKLAND AVE
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91106-4337
Practice Address - Country:US
Practice Address - Phone:626-449-9209
Practice Address - Fax:626-449-4449
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-31
Last Update Date:2011-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG25978207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology