MEDICARE: MATHEW AMPRAYIL CHERIAN 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	207RX0202X	Medical Oncology Physician	46352	OK
2	207RX0202X	Medical Oncology Physician	35.133906	OH
3	207RX0202X	Medical Oncology Physician	2009006300	MO

General Provider Information

NPI Number	:	1639258379
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MATHEW AMPRAYIL CHERIAN MD

Provider Business Mailing Address
First Line	:	800 NE 10TH ST STE 3010
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73104-5418
Country	:	US
Telephone Number	:	405-271-8778
Fax Number	:	405-271-2724

Provider Business Practice Location Address
First Line	:	800 NE 10TH ST STE 3010
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73104-5418
Country	:	US
Telephone Number	:	405-271-8778
Fax Number	:	405-271-2724

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

Provider Enumeration Date	:	11/03/2006
Last Update Date	:	11/25/2025

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