Individual
PONNATTU K CHERIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6420 DUTCHMANS PKWY, SUITE 200, LOUISVILLE, KY 40205-3372
(502) 891-8300
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
18183
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000044895
ANTHEM PIN
KY
01
—
000000693039
ANTHEM - NCVA
KY
01
—
000057058Z
HUMANA NCVA
KY
05
—
100388750A
—
IN
05
—
100388750F
—
IN
01
—
1056109
PASSPORT PIN
KY
01
—
2433835000
PASSPORT ADVANTAGE PIN
KY
01
—
610706398001
TRICARE PIN
—
05
—
64181837
—
KY
01
—
P00889589
MEDICARE RR - NCVA
KY
Enumeration date
07/15/2006
Last updated
01/12/2021
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