Ponnamma Kunjan Pillai, Unnikrishnan

Ponnamma Kunjan Pillai, Unnikrishnan is an individual health care provider with primary practice located at 800 S Tillotson Ave , Muncie IN 47304-4529. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Ponnamma Kunjan Pillai, Unnikrishnan can be contacted via phone (765) 281-2000.

Contact Information

Primary practice address
800 S Tillotson Ave Muncie IN 47304-4529
Fax: (765) 281-2062
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2012003999 Missouri
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 2012003999 Missouri
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 01073178A Indiana

Profile Details

NPI number 1801086640
LBN Legal business name Ponnamma Kunjan Pillai, Unnikrishnan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2007
Last updated May 21st, 2014 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1801086640 NPPES
Indiana MEDICAID 201196580

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