Grant, Ilham Cherrouk

Grant, Ilham Cherrouk is an individual health care provider with primary practice located at 78 Medical Center Dr , Fishersville VA 22939-2332. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hospitalist, which is considered as her primary health care specialty. Grant, Ilham Cherrouk can be contacted via phone (540) 932-4075.

Contact Information

Primary practice address
78 Medical Center Dr Fishersville VA 22939-2332
Fax: (540) 932-5199
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 0101239858 Virginia

Profile Details

NPI number 1457355075
LBN Legal business name Grant, Ilham Cherrouk
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2005
Last updated Dec 20th, 2023 - 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 1457355075 NPPES
North Carolina Other 132TU BLUE CROSS/BLUE SHIELD
North Carolina MEDICAID 89132TU BLUE CROSS/BLUE SHIELD

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