MEDICARE: DAVID C CHEERAN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	148925	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1487651469
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID C CHEERAN MD

Provider Business Mailing Address
First Line	:	1415 PORTLAND AVE
Second Line	:	SUITE 240
City	:	ROCHESTER
State	:	NY
Zip	:	14621-3038
Country	:	US
Telephone Number	:	585-544-6550
Fax Number	:	585-338-2997

Provider Business Practice Location Address
First Line	:	1415 PORTLAND AVE
Second Line	:	SUITE 240
City	:	ROCHESTER
State	:	NY
Zip	:	14621-3038
Country	:	US
Telephone Number	:	585-544-6550
Fax Number	:	585-338-2997

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/05/2005
Last Update Date	:	05/11/2021

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Directions to “ DAVID C CHEERAN MD” Practice Location

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