Individual provider · Type 1 NPI

Anju Mathew Kanikunnel, O.D

Student in an Organized Health Care Education/Training Program · Cleveland, OH

NPI number 1831458488 Active

Practice location

10701 East Blvd
Cleveland, OH 44106-1702

Call (216) 791-3800 Map

Fax (216) 231-3427

Mailing address

2657 W Gregory St
Chicago, IL 60625-3104

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 1831458488

Anju Mathew Kanikunnel, O.D's National Provider Identifier is 1831458488, issued on May 15, 2012. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Cleveland, OH. The record was last updated on May 15, 2012.