NPI 1083975650

Nimal Joe Ponnezhan, MD

Practitioner Student in an Organized Health Care Education/Training Program Sioux Falls, SD

Practice location

Address: 1400 W. 22nd Street, Sioux Falls, SD 57105-1570
Phone: (605) 357-1557
Mailing address: 15805 Peggy Ln APT # 208, Oak Forest, IL 60452-5112

Registered specialties

Student in an Organized Health Care Education/Training Program Primary

Student, Health Care Taxonomy 390200000X

Other Student in an Organized Health Care Education/Training Program providers in South Dakota →

Registry record

NPI: 1083975650
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 May 2012
Record last updated: 31 May 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.