Organization
JACOB CHERIAN MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACOB CHERIAN M.D. (PHYSICIAN/INTERNIST)
(410) 964-5311
Entity
Organization
Contact information
Practice address
10910 LITTLE PATUXENT PKWY, SUITE 105R, COLUMBIA, MD 21044-3078
(410) 964-5311
(410) 964-8578
Mailing address
10910 LITTLE PATUXENT PKWY, SUITE 105R, COLUMBIA, MD 21044-3078
(410) 964-5311
(410) 964-8578
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
D50973
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
780011800
—
MD
Enumeration date
01/11/2008
Last updated
02/13/2008
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