Individual
MR. ALLEN E ESKENAZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0101230079
VA
208000000X
Pediatrics Physician
Primary
C55903
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006705197
—
VA
01
—
013852000
SOUTHERN HEALTH
VA
01
—
258145
ANTHEM
VA
01
—
284131
MAMSI
VA
01
—
3299108005
CIGNA
VA
01
—
54088505615
JOHN DEERE
VA
01
—
5526145
AETNA
VA
Enumeration date
06/09/2005
Last updated
05/19/2016
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