Individual
DR. KARTHIKEYAN CHINNAKKANNU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1650 GRAND CONCOURSE, BRONX, NY 10457-7606
(718) 992-7669
Mailing address
199 MOUNT EDEN PKWY FL 4, BRONX, NY 10457-7703
(718) 992-7669
Taxonomy
Speciality
Code
Description
License number
State
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
R-10963
IA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
304050
NY
207XX0801X
Orthopaedic Trauma Physician
304050
NY
207XX0801X
Orthopaedic Trauma Physician
P101696
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/20/2017
Last updated
08/03/2023
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