Organization
DEMIRJIAN NEUROLOGY & PAIN MANAGEMENT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES DEMIRJIAN MD (PRESIDENT)
(937) 298-3800
Entity
Organization
Contact information
Practice address
7034 CORPORATE WAY, CENTERVILLE, OH 45459-4237
(937) 298-3800
(937) 296-0272
Mailing address
3732 BLOSSOM HEATH RD, DAYTON, OH 45419-1109
(937) 298-3800
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
35048624D
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000037042
ANTHEM
—
01
—
0500446
UNITED HEATHCARE
—
05
—
0518461
—
OH
01
—
2086574
AETNA
—
01
—
383369570-00
BWC
OH
01
—
383369570006
MEDICAL MUTUAL OF OHIO
—
01
—
383369570013
MEDICAL MUTUAL OF OHIO
—
01
—
D48624
HUMANA CHOICE
—
Enumeration date
08/10/2007
Last updated
04/20/2008
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