JACOB CHERIAN MD LLC NPI 1124204912

NPI Information

  • NPI: 1124204912
  • Provider Name: JACOB CHERIAN MD LLC
  • Classification: Clinic/Center - 261QM2500X
  • Specialization: Medical Specialty
  • Entity Type: Organization
  • Address: 10910 LITTLE PATUXENT PKWY
    SUITE 105R
    COLUMBIA, MD
    ZIP 21044
  • Phone: (410) 964-5311

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NPI Details

JACOB CHERIAN MD LLC is a medical specialty clinic center in Columbia, MD. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). JACOB CHERIAN MD LLC NPI is 1124204912. The provider is registered as an organization entity type.

The provider's business location address is:

10910 LITTLE PATUXENT PKWY
SUITE 105R
COLUMBIA, MD
ZIP 21044-078
Phone: (410) 964-5311
Fax: (410) 964-8578

The provider's authorized official is Jacob Cherian .
The authorized official title is Physician/internist and has the following contact phone number (410) 964-5311.

The enumeration date for this NPI number is 1/11/2008 and was last updated on 2/13/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM2500XClinic/CenterMedical SpecialtyD50973MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1009NMEDICARE PINMARYLAND
2G32484MEDICARE UPINMARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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