Provider Demographics
NPI:1912989492
Name:KASABIAN, ROBERT C (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:C
Last Name:KASABIAN
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 1:143 LONGWATER DR
Mailing Address - Street 2:
Mailing Address - City:NORWELL
Mailing Address - State:MA
Mailing Address - Zip Code:02061-1683
Mailing Address - Country:US
Mailing Address - Phone:781-878-5200
Mailing Address - Fax:
Practice Address - Street 1:143 LONGWATER DR
Practice Address - Street 2:
Practice Address - City:NORWELL
Practice Address - State:MA
Practice Address - Zip Code:02061-1683
Practice Address - Country:US
Practice Address - Phone:781-878-5200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-11-18
Last Update Date:2014-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA38687207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA042297845OtherHCVM
MA765430OtherTUFTS
MA765430OtherTUFTS MEDICARE PREFERRED
MA62254OtherHVD PILGRIM HEALTH CARE
MA042297845OtherUNITED HEALTH CARE
MA0016423OtherNEIGHBORHOOD HLTH PLAN
MA042297845OtherGREAT WEST HEALTH CARE
042297845OtherGIC UNICARE
MAB10351201OtherCIGNA
MA042297845OtherPRIVATE HEALTHCARE SYSTEM
MA042297845OtherTRICARE
MA2040786Medicaid
MA36306OtherFALLON
MAJ18021OtherBCBSMA
MA042297845OtherDOC FIRST
MA4218616OtherAETNA
MA042297845OtherGREAT WEST HEALTH CARE
MA2040786Medicaid