Provider Demographics
NPI:1851487383
Name:CHERIYAN, RANJIT K (MD)
Entity Type:Individual
Prefix:MR
First Name:RANJIT
Middle Name:K
Last Name:CHERIYAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3930 WALNUT STREET
Mailing Address - Street 2:SUITE 101
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22030-4738
Mailing Address - Country:US
Mailing Address - Phone:703-246-9246
Mailing Address - Fax:703-246-9257
Practice Address - Street 1:3930 WALNUT STREET
Practice Address - Street 2:SUITE 101
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030-4738
Practice Address - Country:US
Practice Address - Phone:703-246-9246
Practice Address - Fax:703-246-9257
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2013-02-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101040769207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010083516Medicaid
VA010083991Medicaid
VA006033369Medicaid
VA010083541Medicaid
VA010083583Medicaid
VA010083788Medicaid
VA010083818Medicaid
VA010123691Medicaid
1476475OtherCIGNA
VA010084083Medicaid
47430002OtherCAREFIRST
1245536OtherUNITED HEALTHCARE
VA010083494Medicaid
VA010083524Medicaid
VA010084041Medicaid
VA010084041Medicaid
VA010083583Medicaid