Individual
ATHIRA UNNIKRISHNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
901 W 38TH ST STE 300, AUSTIN, TX 78705-1166
(512) 421-4100
(512) 451-7380
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 234-2987
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
BP10039992
TX
207RH0003X
Hematology & Oncology Physician
Primary
Q0840
TX
207RX0202X
Medical Oncology Physician
Q0840
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340913803
—
TX
05
—
340913804
—
TX
Enumeration date
05/11/2011
Last updated
07/30/2022
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