Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | 35052512C | OH |
NPI | 1003882762 |
---|---|
Provider Name | Anita Cheriyan |
First Address | Rocky River, OH 44116 |
Second Address | Westlake, OH 44145 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/02/2006 |
Last Update Date | 27/05/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000221925 | ANTHEM (01) | |
0406871 | UNITED HEALTHCARE (01) | |
0660995 | (05) | OH |
2822259 | AETNA (01) | |
341783789067 | CARESOURCE (01) | |
A16896 | (02) | |
M52512 | SUMMACARE APEX (01) |