Individual
DR. JACOB CHERIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5450 KNOLL NORTH DR, COLUMBIA, MD 21045-2300
(410) 964-5311
(410) 964-8578
Mailing address
6286 TUFTED MOSS, COLUMBIA, MD 21045-4534
(410) 309-0452
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D50973
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
780011800
—
MD
Enumeration date
01/02/2007
Last updated
07/08/2007
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