Organization
ABRAHAM CHERIYAN MD PA
Active
Organization
ABRAHAM CHERIYAN MD PA
Active
Other names
Professional Association
Organization subpart
No
Provider details
NPI number
Authorized official
ABRAHAM CHERIYAN MD (OFFICE MANAGER)
(936) 639-1110
Entity
Organization
Contact information
Practice address
206 GASLIGHT BLVD, LUFKIN, TX 75904
(936) 639-1110
(936) 639-2466
Mailing address
206 GASLIGHT BLVD, LUFKIN, TX 75904
(936) 639-1110
(936) 639-2466
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
K0679
TX
207RP1001X
Pulmonary Disease Physician
Primary
K4066
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113587304
—
TX
05
—
143922601
—
TX
05
—
143923401
—
TX
01
—
41GS
BCBS
—
01
—
8B5470
BCBS
—
01
—
8B5471
BCBS
—
Enumeration date
03/10/2006
Last updated
11/18/2009
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