Dr Chanchamma Thannikkary, MD | |
212 Smith Church Rd, Roanoke Rapids, NC 27870-4914 | |
(252) 537-1717 | |
(252) 537-1366 |
Full Name | Dr Chanchamma Thannikkary |
---|---|
Gender | Female |
Speciality | Radiology - Radiation Oncology |
Location | 212 Smith Church Rd, Roanoke Rapids, North Carolina |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881654085 | NPI | - | NPPES |
P01269393 | Other | NC | RAILROAD MCR |
1881654085 | Medicaid | NC | |
3722179 | Other | NC | CIGNA |
5760043 | Other | NC | AETNA |
1881654085 | Medicaid | VA | |
8982452 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0001X | Radiology - Radiation Oncology | 32057 (North Carolina) | Primary |
Mailing Address | Practice Location Address |
---|---|
Dr Chanchamma Thannikkary, MD 2234 Colonial Blvd, Attn: Payer Contracting & Relations, Fort Myers, FL 33907-1412 Ph: (239) 931-7342 | Dr Chanchamma Thannikkary, MD 212 Smith Church Rd, Roanoke Rapids, NC 27870-4914 Ph: (252) 537-1717 |
Rhoderick Thomas Williams Jr., M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 19 E 11th St, Roanoke Rapids, NC 27870 Phone: 252-535-2121 | |
Michael Dean Sorensen, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 212 Smith Church Rd, Roanoke Rapids, NC 27870 Phone: 252-537-1717 Fax: 252-537-1366 |