# E.W. UNNIKRISHNAN M.D. PSC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194945956
- **Authorized official:** DR. E.W UNNIKRISHNAN M.D (PRESIDENT)
- **Authorized official phone:** (606) 836-2311

## Contact information

- **Practice address:** 900 SAINT CHRISTOPHER DR, SUITE 201, ASHLAND, KY 41101-7090
- **Practice address phone:** (606) 836-2311
- **Practice address fax:** (606) 836-3616
- **Mailing address:** 900 ST CHRISTOPHER DR, SUITE 201, ASHLAND, KY 41101
- **Mailing address phone:** (606) 836-2311
- **Mailing address fax:** (606) 836-3616

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | 19376 | KY | Yes |

## Other

- **Enumeration date:** 04/26/2007
- **Last updated:** 02/14/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000047124 | ANTHEM BC AND BS | KY |
| 05 | — | 0398976 | — | OH |
| 05 | — | 64193766 | — | KY |