Individual
DR. ARA E. KALLIBJIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
6115 POWERS BLVD, PARMA, OH 44129-5471
(440) 743-2525
(440) 743-2526
Mailing address
P O BOX 74637, CLEVELAND, OH 44194-4637
(440) 743-2525
(440) 743-2526
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
36002424
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000167332
ANTHEM
—
05
—
0688377
—
OH
01
—
2700183
UNITEDHEALTHCARE
—
01
—
341687195027
CARESOURCE
—
01
—
366732233011
MEDICAL MUTUAL
—
Enumeration date
04/07/2006
Last updated
02/22/2008
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