Organization
E.W. UNNIKRISHNAN M.D. PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. E.W UNNIKRISHNAN M.D (PRESIDENT)
(606) 836-2311
Entity
Organization
Contact information
Practice address
900 SAINT CHRISTOPHER DR, SUITE 201, ASHLAND, KY 41101-7090
(606) 836-2311
(606) 836-3616
Mailing address
900 ST CHRISTOPHER DR, SUITE 201, ASHLAND, KY 41101
(606) 836-2311
(606) 836-3616
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
19376
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000047124
ANTHEM BC AND BS
KY
05
—
0398976
—
OH
05
—
64193766
—
KY
Enumeration date
04/26/2007
Last updated
02/14/2012
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