Individual provider · Type 1 NPI

Eden Kimiagarov, DO

Student in an Organized Health Care Education/Training Program · Erie, PA

NPI number 1003741562 Active

Practice location

5515 Peach St
Erie, PA 16509-2603

Call (814) 868-8217 Map

Mailing address

5310 Rome Dr Apt 101
Erie, PA 16509-3869

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XOT025465 (PA)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1003741562

Eden Kimiagarov, DO's National Provider Identifier is 1003741562, issued on Jun 16, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Erie, PA. The record was last updated on Jun 16, 2026.