Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2081P2900X | Pain Medicine | ME109651 | FL |
NPI | 1174764153 |
---|---|
Provider Name | Dr. Cherian K Sajan |
First Address | Delray Beach, FL 33484-8194 |
Second Address | Winter Park, FL 32789-2260 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/03/2009 |
Last Update Date | 28/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
ME109651 | FLORIDA (01) | FL |