Kizhakekuttu, Tinoy

Kizhakekuttu, Tinoy is an individual health care provider with primary practice located at 5405 N Knoxville Ave Heartcare Midwest, Peoria IL 61614-5016. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Kizhakekuttu, Tinoy can be contacted via phone (800) 352-4410.

Contact Information

Primary practice address
5405 N Knoxville Ave Heartcare Midwest Peoria IL 61614-5016
Phone: (800) 352-4410
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036110080 Illinois
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 036-110080 Illinois

Profile Details

NPI number 1558336214
LBN Legal business name Kizhakekuttu, Tinoy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2006
Last updated Jan 24th, 2014 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1558336214 NPPES
Illinois MEDICAID 036110080
Illinois Other 07215036

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