Individual
DR. CHARLES DEMIRJIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7034 CORPORATE WAY, CENTERVILLE, OH 45459-4237
(937) 298-3800
(937) 296-0272
Mailing address
3732 BLOSSOM HEATH RD, DAYTON, OH 45419-1109
(937) 298-3800
(937) 296-0272
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
35048624D
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000037042
ANTHEM
OH
01
—
0500446
UNITED HEALTHCARE
OH
05
—
0518461
—
OH
01
—
2086574
AETNA
OH
01
—
D48624
HUMANA
OH
Enumeration date
06/01/2005
Last updated
10/25/2007
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