Individual provider · Type 1 NPI
Benny Illickal
Diagnostic Radiology Physician · Sunnyvale, TX
NPI number
1740682673
Active
Practice location
291 Stone Mountain Dr
Sunnyvale, TX 75182-2655
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Radiology Physician Primary | 2085R0202X | R37333 (TX) |
Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
About NPI 1740682673
Benny Illickal's National Provider Identifier is 1740682673, issued on Sep 23, 2014. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Sunnyvale, TX. The record was last updated on Sep 23, 2014.