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Individual

CHERIAN JOHN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
560 STEUBENVILLE PIKE, BURGETTSTOWN, PA 15021-8552
(724) 947-5053
(724) 947-0206
Mailing address
560 STEUBENVILLE PIKE, BURGETTSTOWN, PA 15021-8539
(724) 947-5350
(740) 947-0206

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
14686
WV
207R00000X
Internal Medicine Physician
35054409J
OH
207R00000X
Internal Medicine Physician
Primary
MD033648E
PA
207RC0000X
Cardiovascular Disease Physician
14686
WV
207RC0000X
Cardiovascular Disease Physician
35054409J
OH
207RC0000X
Cardiovascular Disease Physician
MD033648E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0010024670008
PA
05
0085888000
WV
05
0698580
OH
01
P00011255
RR MEDICARE
WV
01
P00011256
RR MEDICARE
PA
01
P00330359
RR MEDICARE
OH
Enumeration date
07/01/2005
Last updated
09/12/2012
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