Individual provider · Type 1 NPI

Nimal Joe Ponnezhan, MD

Student in an Organized Health Care Education/Training Program · Sioux Falls, SD

NPI number 1083975650 Active

Practice location

1400 W. 22nd Street
Sioux Falls, SD 57105-1570

Call (605) 357-1557 Map

Mailing address

15805 Peggy Ln, Apt # 208
Oak Forest, IL 60452-5112

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1083975650

Nimal Joe Ponnezhan, MD's National Provider Identifier is 1083975650, issued on May 31, 2012. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Sioux Falls, SD. The record was last updated on May 31, 2012.