Individual
DR. ANJU MATHEW KANIKUNNEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D
Contact information
Practice address
10701 EAST BLVD, CLEVELAND, OH 44106-1702
(216) 791-3800
(216) 231-3427
Mailing address
2657 W GREGORY ST, CHICAGO, IL 60625-3104
(773) 574-5465
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/15/2012
Last updated
05/15/2012
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