Individual
PHILIP A. SERBIN
Active
Individual
PHILIP A. SERBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
01043057A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000091700
ANTHEM PROVIDER NUMBER
IN
01
—
100194370
MEDICAID GROUP NUMBER
IN
05
—
100462170
—
IN
01
—
340017214
MEDICARE RAILROAD
IN
05
—
Q005360
—
TN
Enumeration date
07/28/2006
Last updated
06/30/2020
Update your record
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