Provider Demographics
NPI:1801264098
Name:SENNIAPPAN, DHANALAKSHMI
Entity type:Individual
Prefix:
First Name:DHANALAKSHMI
Middle Name:
Last Name:SENNIAPPAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:TRICOUNTY PEDIATRICS
Mailing Address - Street 2:165 AMENDMENT AVE
Mailing Address - City:ROCK HILL
Mailing Address - State:SC
Mailing Address - Zip Code:29732
Mailing Address - Country:US
Mailing Address - Phone:803-329-2700
Mailing Address - Fax:
Practice Address - Street 1:TRICOUNTY PEDIATRICS
Practice Address - Street 2:165 AMENDMENT AVE
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29732
Practice Address - Country:US
Practice Address - Phone:803-329-2700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-04
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC84957208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI38-1359063OtherNO OTHER IDENTIFIERS