Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | 2387 | TX |
NPI | 1083064059 |
---|---|
Provider Name | Rebekah Cherian |
First Address | Philadelphia, PA 19115-4016 |
Second Address | Mesquite, TX 75149-1791 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/06/2016 |
Last Update Date | 17/02/2020 |