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David Khosrawie Hakopian

Physical Medicine & Rehabilitation

Allopathic & Osteopathic Physicians

245 Cherry St SE Ste 300, Grand Rapids, MI 49503-4607

PECOS Enrollment

This provider is enrolled in PECOS as DAVID HAKOPIAN.

Based on the most recent information from CMS, provider David Khosrawie Hakopian 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 yesterday at 10:10 AM.

Profile Details

Provider ID
1851651673
Provider Type
Individual
Full Name
Hakopian, David Khosrawie
Credential
DO

Gender
Male
Sole Proprietor
No
Enumeration Date
5/26/2012
Last Updated
9/20/2018

Contact Information

Practice Location

245 Cherry St SE Ste 300, Grand Rapids, MI 49503-4607

(616) 685-5050

(616) 685-8962

Mailing Location

1900 44th St SE, Kentwood, MI 49508-5008

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 208100000X Primary	Description Physical Medicine & Rehabilitation Allopathic & Osteopathic Physicians	License 5101020798 Michigan

David Khosrawie Hakopian

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Bruinsma, Benjamin J

Kramer, Jeffrey H

Olejniczak, Paul G

Wilcox, Donovan James

Chang, Aaron Sung-En

Mousigian, Marianne

Heitjan, Frederick

Hordt, Thomas

Kreitsch, Robert K

Witzke, Jacquelyn