Provider Demographics
NPI:1891996104
Name:HAKOP HRACHIAN MD PA
Entity type:Organization
Organization Name:HAKOP HRACHIAN MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HAKOP
Authorized Official - Middle Name:
Authorized Official - Last Name:HRACHIAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-663-3377
Mailing Address - Street 1:PO BOX 566597
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33256-6597
Mailing Address - Country:US
Mailing Address - Phone:305-663-3377
Mailing Address - Fax:305-663-3097
Practice Address - Street 1:7000 SW 97TH AVE STE 203
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-1492
Practice Address - Country:US
Practice Address - Phone:305-663-3377
Practice Address - Fax:305-663-3097
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-31
Last Update Date:2025-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME89775207RC0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac ElectrophysiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL113957300Medicaid
FLI16439Medicare UPIN
FLAF634Medicare PIN