Provider Demographics
NPI:1053301713
Name:HACHIGIAN, TODD M (MD)
Entity type:Individual
Prefix:DR
First Name:TODD
Middle Name:M
Last Name:HACHIGIAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1701 SOUTH BLVD E
Mailing Address - Street 2:STE 290
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48307
Mailing Address - Country:US
Mailing Address - Phone:248-997-7900
Mailing Address - Fax:248-997-7918
Practice Address - Street 1:1701 SOUTH BLVD E
Practice Address - Street 2:STE 290
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48307
Practice Address - Country:US
Practice Address - Phone:248-997-7900
Practice Address - Fax:248-997-7918
Is Sole Proprietor?:No
Enumeration Date:2005-10-25
Last Update Date:2011-12-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301071972207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI110F324370OtherBCBSM
MI104398225Medicaid
MI104398225Medicaid
MION37740006Medicare ID - Type Unspecified
0F37698Medicare ID - Type Unspecified