Ellimoottil, Chandy

Ellimoottil, Chandy is an individual health care provider with primary practice located at 1500 E Medical Center Drive 2Nd Floor Taubman Center Recp C, Ann Arbor MI 48108. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Ellimoottil, Chandy can be contacted via phone (734) 936-2047.

Contact Information

Primary practice address
1500 E Medical Center Drive 2Nd Floor Taubman Center Recp C Ann Arbor MI 48108
Phone: (734) 936-2047
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 125056933 Illinois
Allopathic & Osteopathic Physicians / Urology 208800000X 4301107020 Michigan

Profile Details

NPI number 1699903245
LBN Legal business name Ellimoottil, Chandy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2009
Last updated Jun 24th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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