Jidarian, Anoush
Jidarian, Anoush is an individual health care provider with primary practice located at 720 Eskenazi Ave Ste F2-600 , Indianapolis IN 46202-5187. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is her primary health care specialty. Jidarian, Anoush can be contacted via phone (317) 880-6584.Contact Information
Primary practice address
720 Eskenazi Ave Ste F2-600
Indianapolis IN 46202-5187
Phone: (317) 880-6584
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 65129 | Georgia |
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 01075161A | Indiana |
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207RH0002X | 01075161A | Indiana |
Profile Details
NPI number | 1861655441 |
---|---|
LBN Legal business name | Jidarian, Anoush |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 3rd, 2008 |
Last updated | Jun 7th, 2024 - about 3 months 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1861655441 | NPPES |
Georgia | MEDICAID | 003000013A,B | |
Georgia | Other | P01549401 | |
Georgia | MEDICAID | 201284900 |
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