HomeNPI Verification

NPI Verification

National Provider Identifier: 1699903245

Chandy Ellimoottil, MD

Individual Provider

Credentials

Primary Specialty

Urology

Code: 208800000X

All Specialties (2)

Surgery

Code: 208600000X

Urology

Code: 208800000X

Primary

Practice Address

3621 S STATE ST

700 KMS PLACE

ANN ARBOR, MI 48108

Phone: 734-936-2047

NPI Enumeration Date

June 22, 2009

NPI Number

1699903245

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry