Basic Information
Provider Information
NPI: 1487743274
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CHERIAN
FirstName: GEORGE
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.B.B.S; FRCS: FACS
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 4801 LINWOOD BLVD
Address2: ROOM 7205, DEPT OF SURGERY, KCVA HOSPITAL
City: KANSAS CITY
State: MO
PostalCode: 64128
CountryCode: US
TelephoneNumber: 8168614700
FaxNumber: 8169224609
Practice Location
Address1: 4801 E LINWOOD BLVD
Address2: ROOM 7205, DEPT OF SURGERY, KCVA HOSPITAL
City: KANSAS CITY
State: MO
PostalCode: 641282226
CountryCode: US
TelephoneNumber: 8168614700
FaxNumber: 8169224609
Other Information
ProviderEnumerationDate: 10/12/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
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AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208G00000X36839MOY Allopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery) 

No ID Information.


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