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Individual
VIKRAM ETTIGOUNDER PONNUSAMY
Active
Individual
VIKRAM ETTIGOUNDER PONNUSAMY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
25MA12225600
NJ
207W00000X
Ophthalmology Physician
Primary
ME177994
FL
207WX0107X
Retina Specialist (Ophthalmology) Physician
ME177994
FL
Other
Enumeration date
04/21/2020
Last updated
07/09/2026
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