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NPI Code Detail

MEDICARE: ANANDA L KANNAPPAN

MEDICARE: ANANDA L KANNAPPAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician01057195AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1659307213
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANANDA L KANNAPPAN
Provider Business Mailing Address
First Line : PO BOX 637764
Second Line :
City : CINCINNATI
State : OH
Zip : 45263-7764
Country : US
Telephone Number : 317-880-3939
Fax Number :
Provider Business Practice Location Address
First Line : 6002 E 38TH ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46226-5614
Country : US
Telephone Number : 317-880-6002
Fax Number : 317-880-0417
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2006
Last Update Date : 09/23/2025

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Directions to “ ANANDA L KANNAPPAN ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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