Individual
VATCHE A ISRABIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11104 PARKVIEW CIRCLE DR STE 410, FORT WAYNE, IN 46845-0025
(260) 266-7856
(260) 266-5279
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
01040196
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000576545
ANTHEM
IN
01
—
000000670347
ANTHEM
IN
05
—
200148740
—
IN
01
—
P00790184
R.R. MEDICARE
IN
Enumeration date
05/15/2006
Last updated
10/07/2022
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