Provider Demographics
NPI:1093705329
Name:NERCESSIAN, BERJ MOVSESS (MD)
Entity Type:Individual
Prefix:DR
First Name:BERJ
Middle Name:MOVSESS
Last Name:NERCESSIAN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:37300 DEQUINDRE RD.
Mailing Address - Street 2:STE 138
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48310
Mailing Address - Country:US
Mailing Address - Phone:586-275-0461
Mailing Address - Fax:586-275-0462
Practice Address - Street 1:37300 DEQUINDRE RD.
Practice Address - Street 2:STE 138
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48310
Practice Address - Country:US
Practice Address - Phone:586-275-0461
Practice Address - Fax:586-275-0462
Is Sole Proprietor?:No
Enumeration Date:2005-10-27
Last Update Date:2018-06-21
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Provider Licenses
StateLicense IDTaxonomies
MI4301057075207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI3446435Medicaid
MI3446435Medicaid
F67653Medicare UPIN