DR. CHANCHAMMA THANNIKKARY M.D. NPI 1881654085

NPI Information

NPI: 1881654085
Provider Name: DR. CHANCHAMMA THANNIKKARY, M.D.
Classification: Radiology - 2085R0001X
Entity Type: Individual

Specialization: Radiation Oncology

Address:
212 SMITH CHURCH RD
ROANOKE RAPIDS, NC
ZIP 27870
Phone: (252) 537-1717
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DR. Chanchamma Thannikkary, M.D. is a radiation oncology radiology in Roanoke Rapids, NC. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. DR. Chanchamma Thannikkary, M.D. NPI is 1881654085. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

212 SMITH CHURCH RD
ROANOKE RAPIDS, NC
ZIP 27870-914
Phone: (252) 537-1717
Fax: (252) 537-1366

The enumeration date for this NPI number is 3/23/2006 and was last updated on 3/21/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0001X	Radiology	Radiation Oncology	32057	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	C43313	MEDICARE UPIN	NORTH CAROLINA
2	P01269393	OTHER	NORTH CAROLINA	RAILROAD MCR
3	5760043	OTHER	NORTH CAROLINA	AETNA
4	8982452	MEDICAID	NORTH CAROLINA
5	1881654085	MEDICAID	VIRGINIA
6	NCF892A	MEDICARE PIN	NORTH CAROLINA
7	213515C	MEDICARE PIN	NORTH CAROLINA
8	1881654085	MEDICAID	NORTH CAROLINA
9	3722179	OTHER	NORTH CAROLINA	CIGNA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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