Provider Demographics
NPI:1306958285
Name:JAMERIA, ARVINDKUMAR N (MD)
Entity type:Individual
Prefix:MR
First Name:ARVINDKUMAR
Middle Name:N
Last Name:JAMERIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6016
Mailing Address - Street 2:
Mailing Address - City:TERRE HAUTE
Mailing Address - State:IN
Mailing Address - Zip Code:47802-6016
Mailing Address - Country:US
Mailing Address - Phone:718-564-5844
Mailing Address - Fax:
Practice Address - Street 1:1606 NORTH 7TH STREET
Practice Address - Street 2:
Practice Address - City:TERRE HAUTE
Practice Address - State:IN
Practice Address - Zip Code:47804-2780
Practice Address - Country:US
Practice Address - Phone:812-238-4499
Practice Address - Fax:812-238-4493
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY240735207R00000X
IN01061851A207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200864730 AMedicaid
000000520184OtherANTHEM
IN200864730 AMedicaid
000000520184OtherANTHEM