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Individual
ARA JAMES HANISSIAN
Active
Individual
ARA JAMES HANISSIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
Primary
29057
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4031484
BCBS PROVIDER ID
TN
Enumeration date
11/27/2006
Last updated
01/26/2010
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