KANNAN THANIKACHALAM (NPI# 1487060489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487060489 |
| Entity Type | Individual |
| Full Name | KANNAN THANIKACHALAM |
| Credential | M.B.B.S. |
| Practice Address |
1700 Spring Hill Ave Mobile AL 36604-1407 |
| Practice Telephone | 2514351200 |
| Practice Fax Number | 3342849020 |
| Mailing Telephone | 2514351200 |
| Mailing Fax Number | 3342849020 |
| Enumeration Date | 2014-07-10 |
| Last Update Date | 2020-07-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
MD.40779 | AL | Allopathic & Osteopathic Physicians |
| Street Address |
1700 SPRING HILL AVE |
| City | MOBILE |
| State | AL |
| Zip Code | 36604-1407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265430243 | Roger Martin Alvarado | Internal Medicine | 1700 Spring Hill Ave, Suite 100, Mobile, AL 36604-1407 | 2005-07-13 |
| 1871132282 | Nelda Thomas | Registered Nurse | 1700 Spring Hill Ave, Mobile, AL 36604-1407 | 2020-01-02 |
| 1336605179 | Lauren Pollard Wilson | Registered Nurse | 1700 Spring Hill Ave, Mobile, AL 36604-1407 | 2019-02-18 |
| 1447724935 | Jennifer Hansmann Umbarger | Nurse Practitioner | 1700 Spring Hill Ave, Mobile, AL 36604-1407 | 2019-01-17 |
| 1326515529 | Kelsey Leigh Wright | Physician Assistant | 1700 Spring Hill Ave, Mobile, AL 36604-1407 | 2018-10-26 |
| 1922502681 | Joshua Terkeurst | Pharmacist | 1700 Spring Hill Ave, Mobile, AL 36604-1407 | 2018-03-19 |
| 1972015501 | Brandy Mcgraw | Nurse Practitioner | 1700 Spring Hill Ave, Mobile, AL 36604-1407 | 2017-11-05 |
| 1265896526 | Gary Tyler Butts | Internal Medicine | 1700 Spring Hill Ave, Mobile, AL 36604-1407 | 2016-04-12 |
| 1720442460 | Andrew Shreve | Nurse Practitioner | 1700 Spring Hill Ave, Mobile, AL 36604-1407 | 2016-04-08 |
| 1396121497 | Diana Smith | Nurse Practitioner | 1700 Spring Hill Ave, Suite 100, Mobile, AL 36604-1407 | 2015-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013551449 | John F Kilpatrick | Social Worker | 1156 Springhill Avenue, Mobile, AL 36604 | 2019-10-29 |
| 1477036986 | Rachel Schneider | Specialist/Technologist | 1601 Center St Ste B, Mobile, AL 36604 | 2018-09-11 |
| 1891218194 | Transitional Care LLC | Nurse Practitioner | 1725 Springhill Avenue, Mobile, AL 36604 | 2017-07-19 |
| 1427404722 | Precision Orthotics & Prosthetics,llc | Durable Medical Equipment & Medical Supplies | 1557 Springhill Avenue, Mobile, AL 36604 | 2016-05-05 |
| 1851737746 | Robert P. Kobelja | Psychiatry & Neurology | 1601 Center St Ste 2s, Mobile, AL 36604 | 2013-05-17 |
| 1619233970 | Lisa Brown Bailey | Nurse Practitioner | 1700 Center Street--, Division of Neonatology, Mobile, AL 36604 | 2012-04-11 |
| 1023341773 | Rebecca Blankenhorn | Audiologist | 1610 Center St., Suite A, Mobile, AL 36604 | 2009-09-14 |
| 1700062684 | William-glenn Langley Hollingsworth | Counselor | 1156 Springhill Ave, Mobile, AL 36604 | 2008-01-10 |
| 1972715415 | Allison May Chung | Pharmacist | 1504 Springhill Dr, Rm 5225, Mobile, AL 36604 | 2007-05-04 |
| 1265504716 | Geriatric Specialists LLC | Internal Medicine | 1059 Palmetto St, Mobile, AL 36604 | 2006-11-13 |
| Find all providers in zip 36604 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396787230 | Thomas Wayne Butler | Internal Medicine | 1660 Spring Hill Ave, Mobile, AL 36604-1405 | 2006-06-12 |
| 1982657755 | Connie D Uzel | Internal Medicine | 3719 Dauphin St Fl 5, Mobile, AL 36608-1753 | 2006-05-19 |
| 1780637579 | Thaddeus Beeker | Internal Medicine | 6701 Airport Blvd Bldg B, Mobile, AL 36608-6705 | 2006-05-19 |
| 1538112701 | Michael Wallace Meshad | Internal Medicine | 3719 Dauphin Street, 5th Floor, Mobile, AL 36608-1753 | 2006-05-18 |
| 1558353987 | Daniel G Cameron | Internal Medicine | 1660 Springhill Ave, Mobile, AL 36604-1405 | 2005-08-22 |
| 1003255993 | Jose Nahun Galeas Soriano | Internal Medicine | 1700 Spring Hill Ave Ste 100, Mobile, AL 36604-1416 | 2013-06-24 |
| 1790098770 | Norma Carole Wiseman Norden | Internal Medicine | 1660 Spring Hill Ave, Mobile, AL 36604-1405 | 2010-07-20 |
| 1114166139 | William Riley Taylor | Internal Medicine | 1660 Springhill Ave, Mobile, AL 36604-1405 | 2009-02-14 |
| 1720239932 | Infirmary West Oncology and Infusion Services | Internal Medicine | 3 Mobile Infirmary Circle, Suite 301, Mobile, AL 36607-3515 | 2008-10-07 |
| 1558560219 | Mary Vu | Internal Medicine | 1660 Spring Hill Ave, Mobile, AL 36604-1405 | 2007-07-13 |
| Find all providers in MOBILE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.