Ponnambalam, Ananthasekar

Ponnambalam, Ananthasekar is an individual health care provider with primary practice located at 1601 Center Street Suite 1S, Mobile AL 36604-3207. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, which is considered as his primary health care specialty. Ponnambalam, Ananthasekar can be contacted via phone (251) 410-5437.

Contact Information

Primary practice address
1601 Center Street Suite 1S Mobile AL 36604-3207
Fax: (251) 434-3852
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X MD424450 Pennsylvania
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X 28395 Alabama

Profile Details

NPI number 1063459592
LBN Legal business name Ponnambalam, Ananthasekar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2006
Last updated Mar 2nd, 2017 - about 8 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 1063459592 NPPES
Alabama Other 51545807 BCBS-1504 SPRINGHILL
Alabama MEDICAID 280297000 BCBS-1504 SPRINGHILL
Alabama MEDICAID 009913082 BCBS-1504 SPRINGHILL
Alabama MEDICAID 009913083 BCBS-1504 SPRINGHILL
Alabama MEDICAID 07284861 BCBS-1504 SPRINGHILL

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