Periakaruppan, Annamalai
Periakaruppan, Annamalai is an sole proprietor health care provider with primary practice located at 180 Harry L Dr , Johnson City NY 13790-1566. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Periakaruppan, Annamalai can be contacted via phone (607) 763-1122.Contact Information
Primary practice address
180 Harry L Dr
Johnson City NY 13790-1566
Phone: (607) 763-1122
Fax: (607) 763-1331
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 1562261 | New York |
Profile Details
| NPI number | 1801851324 |
|---|---|
| LBN Legal business name | Periakaruppan, Annamalai |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 18th, 2006 |
| Last updated | Nov 11th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801851324 | NPPES |
| New York | MEDICAID | 00945708 |
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