Individual
ANITA CHERIYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
25200 CENTER RIDGE RD, #3200, WESTLAKE, OH 44145
(440) 895-5040
(440) 895-5073
Mailing address
20525 CENTER RIDGE RD, STE 220, ROCKY RIVER, OH 44116
(440) 895-5056
(440) 895-5050
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
35052512C
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000221925
ANTHEM
—
01
—
0406871
UNITED HEALTHCARE
—
05
—
0660995
—
OH
01
—
2822259
AETNA
—
01
—
341783789067
CARESOURCE
—
01
—
M52512
SUMMACARE APEX
—
Enumeration date
02/23/2006
Last updated
05/27/2008
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