Individual
IFTHEKAR UNNISSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
J1416
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0016LG
BLUECROSS BLUESHIELD OF TEXAS
TX
05
—
149703401
—
TX
05
—
149703403
—
TX
Enumeration date
08/11/2006
Last updated
02/17/2009
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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