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Individual

SHEEBA K CHERIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
7777 FOREST LN STE B332, DALLAS, TX 75230-6822
(972) 566-7788
(972) 566-8837
Mailing address
DEPT. 453 PO BOX 1000, MEMPHIS, TN 38148-0001
(828) 575-2625
(828) 350-2174

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
S4929
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1417342874
TX
01
1E3640
MEDICARE PTAN
TX
01
1E3641
MEDICARE PTAN
TX
Enumeration date
04/02/2015
Last updated
05/03/2022
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