# JOSEPH ANTONY ELENGICKAL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1770288110
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | LL90267 | SC | Yes |
| 208M00000X | Hospitalist Physician | 111492 | GA | — |

## Other

- **Enumeration date:** 04/04/2023
- **Last updated:** 07/21/2026