Individual
DR. NIMAL JOE PONNEZHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1400 W. 22ND STREET, SIOUX FALLS, SD 57105-1570
(605) 357-1557
Mailing address
15805 PEGGY LN, APT # 208, OAK FOREST, IL 60452-5112
(312) 344-0482
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/31/2012
Last updated
05/31/2012
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