Provider Demographics
NPI:1235478538
Name:CHERIAN, ARUN (MD)
Entity Type:Individual
Prefix:DR
First Name:ARUN
Middle Name:
Last Name:CHERIAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1620 N MCCARTHY RD
Mailing Address - Street 2:APT # 1
Mailing Address - City:APPLETON
Mailing Address - State:WI
Mailing Address - Zip Code:54913-8250
Mailing Address - Country:US
Mailing Address - Phone:917-435-6141
Mailing Address - Fax:
Practice Address - Street 1:1620 N MCCARTHY RD
Practice Address - Street 2:APT # 1
Practice Address - City:APPLETON
Practice Address - State:WI
Practice Address - Zip Code:54913-8250
Practice Address - Country:US
Practice Address - Phone:917-435-6141
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-06
Last Update Date:2013-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI60085-20207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine