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EDEN KIMIAGAROV DO
NPI 1003741562
Student in an Organized Health Care Education/Training Program in Erie, PA

Active since June 16, 2026

NPPES record last updated: June 16, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Eden Kimiagarov Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDEN KIMIAGAROV DO (NPI 1003741562) is an individual student in an organized health care education/training program in Erie, Pennsylvania, licensed in Pennsylvania (OT025465) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1003741562
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameEDEN KIMIAGAROVCredential: DO
Location Address5515 PEACH STErie, PA 16509-2603
Mailing Address5310 Rome Dr Apt 101Erie, PA 16509-3869 · (954) 759-1563
Phone(814) 868-8217
Sole ProprietorNo
Enumeration DateJune 16, 2026
NPPES CertifiedJune 16, 2026
✔ NPI 1003741562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in PA · OT025465
Definition
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.
5515 PEACH ST, Erie, PA 16509
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NATALIE A KUJAN LDN
Dietitian, Registered
5515 PEACH ST
ERIE, PA 16509
Erie County (814) 864-4031
DR. GARRETT P JAGEMAN PHARMD
Pharmacist
5515 PEACH ST
ERIE, PA 16509
Erie County (814) 864-4031
ERIN CARLSON PHARMD
Pharmacist
5515 PEACH ST
ERIE, PA 16509
Erie County (814) 868-8267
NICHOLAS PAUL PANICO DO
Student in an Organized Health Care Education/Training Program
5515 PEACH ST
ERIE, PA 16509
Erie County (814) 864-4031
DALTON WADE SUMMERHILL
Student in an Organized Health Care Education/Training Program
5515 PEACH ST
ERIE, PA 16509
Erie County (814) 864-4031
ALYSE CHRISTINE HAGGERTY RN
Registered Nurse (Psychiatric/Mental Health, Adult)
5515 PEACH ST
ERIE, PA 16509
Erie County (814) 864-4031
JOSEPH AARON HOLMES D.O.
Psychiatry & Neurology (Psychiatry)
5515 PEACH ST
ERIE, PA 16509
Erie County (181) 486-8820
ALEXIS MARIE ANDERSON DPM
Podiatrist
5515 PEACH ST
ERIE, PA 16509
Erie County (814) 864-4031

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eden Kimiagarov's NPI number?

The NPI number for Eden Kimiagarov is 1003741562. It was assigned to this individual provider in the NPPES registry on June 16, 2026.

Where is Eden Kimiagarov located?

Eden Kimiagarov practices at 5515 Peach St, Erie, PA 16509. The listed phone number is (814) 868-8217.

What is Eden Kimiagarov's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Eden Kimiagarov was last updated on June 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 48 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.