Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | MD0000010256 | TN |
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | MD0000010256 | TN |
NPI | 1225023260 |
---|---|
Provider Name | Arsen H Manugian |
First Address | Memphis, TN 38119-5742 |
Second Address | Bartlett, TN 38133-4004 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/09/2005 |
Last Update Date | 20/06/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00756271 | RR MEDICARE (01) | TN |
1514474 | (05) | TN |
2598820 | CIGNA (01) | |
40MD0010256 | UNITED HEALTH (01) | |
4228321 | BCBS OF TN (01) | TN |
B03257 | (02) |