Individual
JOHN PATRICK CHEATHAM
Active
Individual
JOHN PATRICK CHEATHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
35081592
OH
2080P0202X
Pediatric Cardiology Physician
35.081592
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2004706000
MEDICAID
WV
05
—
2342496
—
OH
01
—
64057813
MEDICAID
KY
Enumeration date
07/18/2005
Last updated
09/13/2016
Update your record
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