Individual
DR. JAMES LEON KHATCHERESSIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8007 DISCOVERY DR STE A, RICHMOND, VA 23229-8605
(804) 287-3000
(804) 673-2731
Mailing address
7202 GLEN FOREST DR, SUITE 200, RICHMOND, VA 23226-3781
(804) 673-0134
(804) 673-1796
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
0101102680
VA
207RX0202X
Medical Oncology Physician
0101102680
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1366536674
—
VA
01
—
352467
ANTHEM BCBS
VA
01
—
4945957
CIGNA
VA
01
—
C01120
MEDICARE GROUP PTAN
VA
01
—
C05844
MEDICARE GROUP PTAN
VA
01
—
P00666337
RR MEDICARE PTAN
VA
Enumeration date
10/03/2006
Last updated
03/17/2022
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