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ANIE A CHERIAN D.P.M.
>> Podiatrist >> Podiatric Medicine & Surgery Service ProvidersRegistrant NPI Number: 1013981448
Individual Registrant: ANIE A CHERIAN D.P.M.
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
180 COUNTY ROAD 300 JOURDANTON, TX 78026 US
Tel: 847-504-5000 Fax: 847-504-5015
Tel: 847-504-5000 Fax: 847-504-5015
Contact information for business:
PO BOX 917 NORTHBROOK, IL 60065-0917 US
Tel: 847-504-5000 Fax: 847-504-5015
Tel: 847-504-5000 Fax: 847-504-5015
Registration Information:
NPI: 1013981448
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 213E00000X | Podiatric Medicine & Surgery Service Providers Podiatrist | TX | 2305 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 395080001 | TX | 05 | |
| 395080002 | TX | 05 | |
| 395080003 | TX | 05 | |
| 395080004 | TX | 05 |
