Provider Demographics
NPI:1154541688
Name:CHEETHAM, BRIAN CURTIS (MD)
Entity type:Individual
Prefix:MR
First Name:BRIAN
Middle Name:CURTIS
Last Name:CHEETHAM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:9162 ESTATE THOMAS
Mailing Address - Street 2:BAY 10
Mailing Address - City:ST THOMAS
Mailing Address - State:VI
Mailing Address - Zip Code:00802-2687
Mailing Address - Country:US
Mailing Address - Phone:340-774-1080
Mailing Address - Fax:340-774-9842
Practice Address - Street 1:9162 ESTATE THOMAS
Practice Address - Street 2:BAY 10
Practice Address - City:ST THOMAS
Practice Address - State:VI
Practice Address - Zip Code:00802-2687
Practice Address - Country:US
Practice Address - Phone:340-774-1080
Practice Address - Fax:340-774-9842
Is Sole Proprietor?:No
Enumeration Date:2007-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VI847207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology