National Provider Identifier Database

ANANTHASEKAR PONNAMBALAM, MD – NPI #1063459592
Pediatric Gastroenterology

A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.


Contact Information

ANANTHASEKAR PONNAMBALAM, MD
1601 CENTER STREET
SUITE 1S
MOBILE, AL36604-3207
Phone: 251-410-5437
Fax: 251-434-3852
Website:
Specialty Taxonomy Code
* Pediatric Gastroenterology 2080P0206X

* Indicates primary specialty

NPI Profile & details for ANANTHASEKAR PONNAMBALAM

NPI Number 1063459592
Credentials MD
Entity Individual
Enumeration date 06/01/2006
Last updated 03/02/2017 - About 9 years ago
Sole proprietor1 No
Identifiers
  • AL License #: 28395
  • PA License #: MD424450
  • AL Medicaid: 009913082
  • AL Medicaid: 009913083
  • FL Medicaid: 280297000
  • MS Medicaid: 07284861
  • AL Other: 51545807 BCBS-1504 SPRINGHILL
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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