Provider Demographics
NPI:1649346107
Name:CHEEVERS, MANOJ GEORGE
Entity type:Individual
Prefix:
First Name:MANOJ
Middle Name:GEORGE
Last Name:CHEEVERS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:805 CEDAR ST
Mailing Address - Street 2:A
Mailing Address - City:PARADISE
Mailing Address - State:CA
Mailing Address - Zip Code:95969-4602
Mailing Address - Country:US
Mailing Address - Phone:530-877-5845
Mailing Address - Fax:
Practice Address - Street 1:805 CEDAR STREET
Practice Address - Street 2:
Practice Address - City:PARADISE
Practice Address - State:CA
Practice Address - Zip Code:95969
Practice Address - Country:US
Practice Address - Phone:530-877-5845
Practice Address - Fax:530-877-3976
Is Sole Proprietor?:No
Enumeration Date:2006-11-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator