National Provider Identifier Database

CHANCHAMMA THANNIKKARY, MD – NPI #1881654085
Radiation Oncology

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.


Contact Information

CHANCHAMMA THANNIKKARY, MD
212 SMITH CHURCH RD
ROANOKE RAPIDS, NC27870-4914
Phone: 252-537-1717
Fax: 252-537-1366
Website:
Specialty Taxonomy Code
* Radiation Oncology 2085R0001X

* Indicates primary specialty

NPI Profile & details for CHANCHAMMA THANNIKKARY

NPI Number 1881654085
Credentials MD
Entity Individual
Enumeration date 03/23/2006
Last updated 03/21/2014 - About 12 years ago
Sole proprietor1 No
Identifiers
  • NC License #: 32057
  • NC Medicaid: 1881654085
  • NC Medicaid: 8982452
  • VA Medicaid: 1881654085
  • NC Other: 5760043 AETNA
  • NC Other: 3722179 CIGNA
  • NC Other: P01269393 RAILROAD MCR
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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