Individual
RANJITH KUMAR KRISHNANKUTTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS
Contact information
Practice address
21208 NW FREEWAY SUITE 100, CYPRESS, TX 77429
(928) 729-8000
Mailing address
PO BOX 649, FORT DEFIANCE, AZ 86504-0649
(928) 729-8000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD456815
PA
208600000X
Surgery Physician
MT194185
PA
208600000X
Surgery Physician
S0928
TX
390200000X
Student in an Organized Health Care Education/Training Program
MT194185
PA
Other
Enumeration date
03/31/2009
Last updated
01/10/2022
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