Individual
DR. ANDREWS C NINAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2601E ROOSEVELT STREET, MARICOPA MEDICAL CENTER, PHOENIX, AZ 85008
(602) 344-5637
(602) 344-0793
Mailing address
3419 AMBER CT, BOWLING GREEN, KY 42104-0823
(270) 846-9977
(513) 898-0771
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
APPLIED FOR
AZ
2086S0127X
Trauma Surgery Physician
Primary
APPLIED FOR
AZ
Other
Enumeration date
06/09/2008
Last updated
06/09/2008
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