Individual
DR. JAMES MASEREJIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3700 WASHINGTON AVE, EVANSVILLE, IN 47714-0541
(812) 485-7040
(812) 485-7042
Mailing address
PO BOX 359, EVANSVILLE, IN 47703-0359
(812) 485-1220
(812) 485-8544
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01051918A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000200708
ANTHEM PROVIDER #
IN
05
—
100180890G
—
IN
01
—
110232571
RAILROAD MEDICARE # IN
IN
05
—
200260050
—
IN
01
—
CH6490
GRPUP # RAILROAD MCR
IN
Enumeration date
06/10/2006
Last updated
11/13/2009
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