Individual
SELVAKUMAR KUNCHITHAPATHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
036092123
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1912218850
NPI GROUP PRACTICE
IL
01
—
IL4174008
MEDICARE-LOCALITY 16
IL
01
—
IL4177008
MEDICARE-LOCALITY 15
IL
Enumeration date
07/23/2006
Last updated
03/22/2021
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