Look up the most recent NPI and PECOS records

Liana Dagdavaryan

Anesthesiology

Allopathic & Osteopathic Physicians

111 Colchester Ave, Burlington, VT 05401-1473

PECOS Enrollment

Based on the most recent information from CMS, provider Liana Dagdavaryan is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1457712408
Provider Type
Individual
Full Name
Dagdavaryan, Liana
Gender
Female

Sole Proprietor
No
Enumeration Date
3/17/2016
Last Updated
12/11/2023

Contact Information

Practice Location

111 Colchester Ave, Burlington, VT 05401-1473

(802) 847-2415

Unlisted Fax

Mailing Location

200 Mullins Dr, Lebanon, OR 97355-3983

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207L00000X Primary	Description Anesthesiology Allopathic & Osteopathic Physicians	License 032-0134152 Vermont
Code 207L00000X	Description Anesthesiology Allopathic & Osteopathic Physicians	License 12822273-1204 Utah

Liana Dagdavaryan

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Oberding, Michael John

Kreutz, Joseph M

Brana, Jean

Smail, David F.

Walker, Matthew W.

Weinberg, Richard

Wasilko, Scott Michael

Anderson, Erik

Gallagher, Andrew Jared

Kilgus, Britta J