Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Shannon Cherayil

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1063092641

Shannon Cherayil is a Family Practice in Phoenix, Arizona. Graduated from West Virginia School of Osteopathic Medicine in 2021, 5 years ago. Practices with Osteopathic Heritage, PA, a 13-clinician group and accepts Medicare assignment.

Years since qualifying
5
Trained at
West Virginia School of Osteopathic Medicine
In the registry since
2021
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Practice location Address checks out

2000 W Bethany Home Rd
Phoenix, AZ 85015-2443
Phone: (602) 249-0212
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1063092641
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 8, 2021
Last updated in NPPESApril 8, 2021
Certification dateApril 8, 2021
Mailing address3417 Woodview Dr, Lafayette, CA 94549-5345

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolWEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE
Graduated 2021 (5 years in practice)
Group practice Osteopathic Heritage, P.A. — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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