Dr Shant Aghadjanian, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in San Antonio, Texas. His current practice location is
1102 Barclay St, San Antonio, Texas. You can reach out to his office (for appointments etc.) via phone at
(210) 233-7000.
Dr Shant Aghadjanian is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1679275622.
Physician's Profile
Full Name | Dr Shant Aghadjanian |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 1102 Barclay St, San Antonio, Texas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1679275622
- Provider Enumeration Date: 03/21/2023
- Last Update Date: 05/18/2025
Medicare PECOS Information:
- PECOS PAC ID: 6709230394
- Enrollment ID: I20231002000440
Medical Identifiers
Medical identifiers for Dr Shant Aghadjanian such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1679275622 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 20A23344 (California) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Shant Aghadjanian is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Shant Aghadjanian, DO 1102 Barclay St, San Antonio, TX 78207-7161 Ph: (210) 233-7000 | Dr Shant Aghadjanian, DO 1102 Barclay St, San Antonio, TX 78207-7161 Ph: (210) 233-7000 |
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