Individual
DIRAN JOSEPH CHAMOUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3160 ALZANTE CIR, MELBOURNE, FL 32940-7330
(321) 751-4673
(321) 751-4567
Mailing address
3160 ALZANTE CIR, MELBOURNE, FL 32940-7330
(321) 751-4673
(321) 751-4567
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME71374
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31617
BLUE CROSS BLUE SHIELD
FL
Enumeration date
12/06/2005
Last updated
07/20/2011
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