Individual
DR. KOCHURANI CHERIAN PUTHUMANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
215 TEMPLE AVE, COLONIAL HEIGHTS, VA 23834-2827
(804) 526-8640
(804) 526-4321
Mailing address
215 TEMPLE AVE, COLONIAL HEIGHTS, VA 23834-2827
(804) 526-8640
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101051536
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041465
BCBS/ANTHEM
VA
01
—
541754080
TAX ID
VA
05
—
6034306
—
VA
Enumeration date
06/03/2006
Last updated
09/05/2012
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