Chelliah, Jerome

Chelliah, Jerome is an individual health care provider with primary practice located at 8401 Market St , Boardman OH 44512-6725. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Chelliah, Jerome can be contacted via phone (330) 729-4350.

Contact Information

Primary practice address
8401 Market St Boardman OH 44512-6725
Phone: (330) 729-4350
Fax: (330) 729-4351
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 150807 California
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 35.137267 Ohio

Profile Details

NPI number 1013371046
LBN Legal business name Chelliah, Jerome
Credentials MD, MPH
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2016
Last updated Mar 23rd, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013371046 NPPES
Ohio MEDICAID 0405268

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