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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