Provider Demographics
NPI:1891706339
Name:FRANCIS, FENNY ANTHIKAD (MD)
Entity Type:Individual
Prefix:DR
First Name:FENNY
Middle Name:ANTHIKAD
Last Name:FRANCIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:FENNY
Other - Middle Name:
Other - Last Name:ANTHIKAD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:68 SOUTH SERVICE ROAD
Mailing Address - Street 2:SUITE 350
Mailing Address - City:MELVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11747-2358
Mailing Address - Country:US
Mailing Address - Phone:516-945-3000
Mailing Address - Fax:516-945-3131
Practice Address - Street 1:200 LOTHROP ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213-2536
Practice Address - Country:US
Practice Address - Phone:412-647-3260
Practice Address - Fax:412-647-0342
Is Sole Proprietor?:No
Enumeration Date:2006-08-10
Last Update Date:2016-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD427978207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA103461FEVMedicare PIN