Axiograft
NPI 1750264677ActiveOrganization· Internal Medicine· Glendale, CA
Internal Medicine in Glendale, California, registered in NPPES in July 2025. The authorized official on file is Manvel Kondradzhyan, MD, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1750264677 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 29, 2025 |
| Last updated in NPPES | Jul 29, 2025 |
| Certified by provider | Jul 28, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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