Hrachya Nersesyan in Peoria - Neurology

Hrachya Nersesyan - NPI 1497957468

Hrachya Nersesyan is a Neurology in Peoria, Illinois. Hrachya Nersesyan practices all healthcare services and medical treatments related to Neurology. The NPI Number for Hrachya Nersesyan is 1497957468. The last update date is 2009-07-10.

Hrachya Nersesyan's current location address is 100 Ne Randolph Ave, Peoria, Illinois. You can contact this provider via phone number 3096248500. The mailing address for Hrachya Nersesyan is 100 Ne Randolph Ave, Peoria, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Hrachya Nersesyan
Address 100 Ne Randolph Ave, Peoria, Illinois
Phone Number 3096248500
Fax Number
Sole Proprietor N
Credentials M.D., PH.D

NPI Number Detail

NPI Number 1497957468
Provider Enumeration Date 2007-06-01
Last Updated Date 2009-07-10

Provider Mailing Address Detail

Address 100 Ne Randolph Ave
City Peoria
State Illinois (IL)
Post Code 616061919
Phone Number 3096248500
Fax Number

Provider's Primary Taxonomy Detail

Speciality Neurology
Taxonomy 2084N0400X
Licence No 125-048819
Definition:
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
809840 IL MEDICARE GROUP PTAN

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FAQs about Hrachya Nersesyan

What is the unique 10-digit identifier code assigned to Hrachya Nersesyan by the Centers for Medicare & Medicaid Services?

The Hrachya Nersesyan has been issued the NPI (National Provider Identifier) 1497957468 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you share the physical location details of Hrachya Nersesyan?

The Hrachya Nersesyan is situated at 100 Ne Randolph Ave, in the city of Peoria, state of IL, with the zip code 616061919.

What is Hrachya Nersesyan's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Hrachya Nersesyan is Neurology, and the taxonomy code that categorizes this field of expertise is 2084N0400X.

On what date did the Centers for Medicare & Medicaid Services issue the 1497957468 to Hrachya Nersesyan?

The Hrachya Nersesyan received its 1497957468 assignment from the Centers for Medicare & Medicaid Services on 2007-06-01.

As of what date were the Hrachya Nersesyan's details last updated?

The information pertaining to the Hrachya Nersesyan, including its address, specialty, and other details, was most recently updated on 2009-07-10.

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