1861747966 NPI number — ARUN KANNAN MBBS

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1861747966 NPI number — ARUN KANNAN MBBS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
KANNAN
Provider First Name:
ARUN
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MBBS
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1861747966
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/01/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
94 DURAIARASAN STREET
Provider Second Line Business Mailing Address:
SALIGRAMAM
Provider Business Mailing Address City Name:
CHENNAI
Provider Business Mailing Address State Name:
TAMILNADU
Provider Business Mailing Address Postal Code:
600093
Provider Business Mailing Address Country Code:
IN
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
94 DURAIARASN STREET
Provider Second Line Business Practice Location Address:
SALIGRAMAM
Provider Business Practice Location Address City Name:
CHENNAI
Provider Business Practice Location Address State Name:
TAMILNADU
Provider Business Practice Location Address Postal Code:
600093
Provider Business Practice Location Address Country Code:
IN
Provider Business Practice Location Address Telephone Number:
011911123764846
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/16/2012

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207XS0114X , with the licence number:  76207 , registered in the state of ZZ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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