Provider Demographics
NPI:1780070656
Name:CHERIAN, TEENU (DO)
Entity type:Individual
Prefix:DR
First Name:TEENU
Middle Name:
Last Name:CHERIAN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1243 EASTON RD STE 102C
Mailing Address - Street 2:
Mailing Address - City:WARRINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:18976-3801
Mailing Address - Country:US
Mailing Address - Phone:215-607-8042
Mailing Address - Fax:888-867-8830
Practice Address - Street 1:1243 EASTON RD STE 102C
Practice Address - Street 2:
Practice Address - City:WARRINGTON
Practice Address - State:PA
Practice Address - Zip Code:18976-3801
Practice Address - Country:US
Practice Address - Phone:215-607-8042
Practice Address - Fax:267-200-3957
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-08
Last Update Date:2023-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB09631200208000000X
PAOS017595208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA103029319Medicaid