Provider Demographics
NPI:1861747966
Name:KANNAN, ARUN (MBBS)
Entity type:Individual
Prefix:
First Name:ARUN
Middle Name:
Last Name:KANNAN
Suffix:
Gender:M
Credentials:MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:94 DURAIARASAN STREET
Mailing Address - Street 2:SALIGRAMAM
Mailing Address - City:CHENNAI
Mailing Address - State:TAMILNADU
Mailing Address - Zip Code:600093
Mailing Address - Country:IN
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:94 DURAIARASN STREET
Practice Address - Street 2:SALIGRAMAM
Practice Address - City:CHENNAI
Practice Address - State:TAMILNADU
Practice Address - Zip Code:600093
Practice Address - Country:IN
Practice Address - Phone:01191112-376-4846
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-16
Last Update Date:2013-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ZZ76207207XS0114X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery