Most Relevant Information
Provider Data
| NPI Number: | 1003665464 |
| Provider Name: | SUMEDHA NEDIYIRIPPIL UNNIKRISHNAN M.D |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/16/2024 |
| Last Updated: | 11/04/2024 |
Provider Practice Location
2000B TRANSMOUNTAIN DRIVE
EL PASO
TX
79911
Practice Location Phone/Fax
| Phone: | 9152155730 |
| Fax: | 9152158671 |
Provider Mailing Location
1325 NORTHWESTERN DRIVE
APARTMENT 6207
EL PASO
TX
79912
Provider Mailing Phone/Fax
| Phone: | 9152425780 |
| Fax: | 9152158671 |