Healthcare Provider Details

I. General information

NPI: 1306958285
Provider Name (Legal Business Name): ARVINDKUMAR N JAMERIA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 03/04/2025
Certification Date: 03/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1606 NORTH 7TH STREET
TERRE HAUTE IN
47804-2780
US

IV. Provider business mailing address

PO BOX 6016
TERRE HAUTE IN
47802-6016
US

V. Phone/Fax

Practice location:
  • Phone: 812-238-4499
  • Fax: 812-238-4493
Mailing address:
  • Phone: 718-564-5844
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number240735
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number01061851A
License Number StateIN
# 3
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number01061851A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: