Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 125067206 | IL |
N | 111NI0900X | Internist | 125067206 | IL |
N | 208100000X | Physical Medicine & Rehabilitation Doctor | 82623 | GA |
Y | 2081S0010X | Sports Medicine | 25MA10959600 | NJ |
Y | 213ES0000X | Sports Medicine | 25MA10959600 | NJ |
N | 2081S0010X | Sports Medicine | 306126 | NY |
N | 213ES0000X | Sports Medicine | 306126 | NY |
NPI | 1285014159 |
---|---|
Provider Name | Dr. Chris Cherian |
First Address | Philadelphia, PA 19107-4430 |
Second Address | Montvale, NJ 07645-1709 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/06/2015 |
Last Update Date | 01/12/2021 |