Chanchamma Thannikkary M.D.

NPI 1881654085 - Radiology - 2085R0001X

NPI Details
NPI 1881654085
Gender Female
Enumeration Date 03/23/2006
Last Updated 03/21/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
212 SMITH CHURCH RD
ROANOKE RAPIDS NC, 27870-4914, US
Phone (252) 537-1717
Fax (252) 537-1366
Business Location
2234 COLONIAL BLVD
ATTN: PAYER CONTRACTING & RELATIONS
FORT MYERS FL, 33907-1412, US
Phone (239) 931-7342
Fax (239) 931-7385
Toxanomy
Taxonomy Code 2085R0001X
License State North Carolina
License Number 32057
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According to our database, Dr. Chanchamma Thannikkary M.D. NPI is 1881654085, taxonomy code is 2085R0001X and license number is 32057, license state is located at North Carolina. Chanchamma Thannikkary M.D. physically located at 212 Smith Church Rd, Roanoke Rapids NC, 27870-4914. NPI Number Chanchamma Thannikkary M.D. has the Individual type.

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1881654085 NPI number is provided on an as is basis without warranty of any kind. 1881654085 is maintained by the National Plan & Provider Enumeration System. The contents of Chanchamma Thannikkary M.D. are for informational purposes only.