- Practice location
- 1350 Hickory St, Melbourne, FL 32901-3224
- Phone
- 321-434-1771
- Fax
- 321-434-1775
- Last updated
- February 14, 2024
Cherryl Ann Premdass is a Family Medicine based in Melbourne, FL. Cherryl Ann Premdass practices in Melbourne, FL and has the professional credentials of MD. The NPI Number for Cherryl Ann Premdass is 1124274089 and holds a License No. 50454 (KY). The current practice location address for Cherryl Ann Premdass is 1350 Hickory St, Melbourne, FL 32901-3224 and can be reached out via phone at 321-434-1771 and via fax at 321-434-1775.
Provider Profile Details
- NPI Number
- 1124274089
- Provider Name
- Cherryl Ann Premdass
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1350 Hickory St, Melbourne, FL 32901-3224
- Phone Number
- 321-434-1771
- Fax Number
- 321-434-1775
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 12, 2008
- Last Update Date
- February 14, 2024
- Certification Date
- February 14, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1350 Hickory St
Melbourne, FL 32901-3224 - City
- Melbourne
- State
- Florida
- Zip
- 32901-3224
- Phone Number
- 321-434-1771
- Fax Number
- 321-434-1775
Provider Business Mailing Address Details
- Address
- 2 Valentine Dr
Rensselaer, NY 12144-9616 - City
- Rensselaer
- State
- NY
- Zip
- 12144-9616
- Phone Number
- 860-545-5000
License Information
- License Number (1)
- 50454
- License State (1)
- KY
- Taxonomy (1)
- Family Medicine · 207Q00000X
- License Number (2)
- 19557-875
- License State (2)
- WI
- Taxonomy (2)
- Family Medicine · 207Q00000X
- License Number (3)
- 66149
- License State (3)
- CT
- Taxonomy (3)
- Family Medicine · 207Q00000X
- License Number (4)
- AS2383278-0709
- License State (4)
- CT
- Taxonomy (4)
- Surgery · 208600000X
- License Number (5)
- 289112
- License State (5)
- NY
- Taxonomy (5)
- Hospitalist · 208M00000X
- License Number (6)
- 37443
- License State (6)
- SC
- Taxonomy (6)
- Hospitalist · 208M00000X
- License Number (7)
- ME124797
- License State (7)
- FL
- Taxonomy (7)
- Hospitalist · 208M00000X
- License Number (8)
- 289112
- License State (8)
- NY
- Taxonomy (8)
- Family Medicine · 207Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Cherryl A Premdass, MD?
The NPI number of Cherryl A Premdass, MD is 1124274089. It was assigned on August 12, 2008 and is currently active in the NPPES registry.
What is the specialty of Cherryl A Premdass, MD?
Cherryl A Premdass, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in KY under license number 50454.
Where does Cherryl A Premdass, MD practice?
The practice location is 1350 Hickory St, Melbourne, FL 32901-3224. The office can be reached at 321-434-1771 (phone) or 321-434-1775 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1124274089 directly on the NPPES registry website.