Individual
DR. TONY PAPPACHAN KANNARKAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8201 16TH STREET, 121, SILVER SPRING, MD 20910
(301) 587-5090
(301) 587-8045
Mailing address
8201 16TH STREET, 121, SILVER SPRING, MD 20910
(301) 587-5090
(301) 587-8045
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0020062
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
762481600
—
MD
Enumeration date
07/04/2006
Last updated
10/30/2008
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