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Individual
DR. JAMES LEON KHATCHERESSIAN
Active
Individual
DR. JAMES LEON KHATCHERESSIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
0101102680
VA
207RX0202X
Medical Oncology Physician
0101102680
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1366536674
—
VA
01
—
352467
ANTHEM BCBS
VA
01
—
4945957
CIGNA
VA
01
—
C01120
MEDICARE GROUP PTAN
VA
01
—
C05844
MEDICARE GROUP PTAN
VA
01
—
P00666337
RR MEDICARE PTAN
VA
Enumeration date
10/03/2006
Last updated
03/17/2022
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