Individual
DR. ANANTHASEKAR PONNAMBALAM
Active
Individual
DR. ANANTHASEKAR PONNAMBALAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
28395
AL
2080P0206X
Pediatric Gastroenterology Physician
MD424450
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009913082
—
AL
05
—
009913083
—
AL
05
—
07284861
—
MS
05
—
280297000
—
FL
01
—
51545807
BCBS-1504 SPRINGHILL
AL
Enumeration date
06/01/2006
Last updated
03/02/2017
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