Provider Demographics
NPI:1093940843
Name:THAMPY, UNNIKRISHNAN NARAYANAN (MD)
Entity Type:Individual
Prefix:
First Name:UNNIKRISHNAN
Middle Name:NARAYANAN
Last Name:THAMPY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 MCCULLOCH DR
Mailing Address - Street 2:
Mailing Address - City:DIX HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11746-8304
Mailing Address - Country:US
Mailing Address - Phone:516-395-1835
Mailing Address - Fax:516-324-0494
Practice Address - Street 1:6 TUXEDO AVE
Practice Address - Street 2:
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11040-3519
Practice Address - Country:US
Practice Address - Phone:203-789-4044
Practice Address - Fax:203-789-3007
Is Sole Proprietor?:No
Enumeration Date:2009-05-22
Last Update Date:2022-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT48367207R00000X
NY250527207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine