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Contact Information

CHANDY ELLIMOOTTIL, MD
1500 E MEDICAL CENTER DRIVE
2ND FLOOR TAUBMAN CENTER RECP C
ANN ARBOR, MI48108
 Phone: 734-936-2047
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urology

208800000X 34 Physician/Urology
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for CHANDY ELLIMOOTTIL · (Male)

NPI # 1699903245
Status Active
Credentials MD
Entity Individual
Enumeration date 06/22/2009
Last updated 06/24/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 125056933
  • MI License # 4301107020
Hospital affiliation(s)
  • UNIVERSITY OF MICHIGAN HEALTH SYSTEM - (Acute Care)
    1500 E MEDICAL CENTER DRIVE, SPC 5474
    ANN ARBOR, MI 48109
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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