Provider Demographics
NPI:1689705535
Name:BORHAN, ARMAN (MD)
Entity Type:Individual
Prefix:
First Name:ARMAN
Middle Name:
Last Name:BORHAN
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 126
Mailing Address - Street 2:
Mailing Address - City:GRANGER
Mailing Address - State:IN
Mailing Address - Zip Code:46530-0126
Mailing Address - Country:US
Mailing Address - Phone:574-251-0498
Mailing Address - Fax:574-251-0068
Practice Address - Street 1:3212 HICKORY RD
Practice Address - Street 2:SUITE B
Practice Address - City:MISHAWAKA
Practice Address - State:IN
Practice Address - Zip Code:46545-8862
Practice Address - Country:US
Practice Address - Phone:574-251-0498
Practice Address - Fax:574-251-0068
Is Sole Proprietor?:No
Enumeration Date:2007-03-09
Last Update Date:2010-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01065644A2081P2900X, 208100000X
GA059901208100000X, 2081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN1689705535Medicaid
IN000000205664OtherANTHEM BC/BS
IN1689705535Medicare PIN