Israbian, Vatche A

Israbian, Vatche A is an individual health care provider with primary practice located at 11104 Parkview Circle Dr Ste 410 , Fort Wayne IN 46845-0025. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Israbian, Vatche A can be contacted via phone (260) 266-7856.

Contact Information

Primary practice address
11104 Parkview Circle Dr Ste 410 Fort Wayne IN 46845-0025
Fax: (260) 266-5279
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 01040196 Indiana

Profile Details

NPI number 1013968700
LBN Legal business name Israbian, Vatche A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated Oct 7th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013968700 NPPES
Indiana Other 000000576545 ANTHEM
Indiana Other 000000670347 ANTHEM
Indiana MEDICAID 200148740 ANTHEM
Indiana Other P00790184 ANTHEM

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