VICTOR J THANNICKAL MD NPI 1477635902

NPI Information

NPI: 1477635902
Provider Name: VICTOR J THANNICKAL, MD
Classification: Internal Medicine - 207RP1001X
Entity Type: Individual

Specialization: Pulmonary Disease

PECOS Registration: Yes

Address:
2000 6TH AVE S
BIRMINGHAM, AL
ZIP 35233
Phone: (205) 801-8000
Get Directions

Victor J Thannickal, MD is a pulmonary disease internal medicine in Birmingham, AL. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. Victor J Thannickal, MD NPI is 1477635902. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2000 6TH AVE S
BIRMINGHAM, AL
ZIP 35233-110
Phone: (205) 801-8000

The NPI 1477635902 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/20/2006 and was last updated on 10/3/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207R00000X	Internal Medicine		4301079260	MICHIGAN	No
2	207RP1001X	Internal Medicine	Pulmonary Disease	4301079260	MICHIGAN	No
3	207RP1001X	Internal Medicine	Pulmonary Disease	29563	ALABAMA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P00930413	OTHER	ALABAMA	RAILROAD MEDICARE
2	4384168	MEDICAID	MICHIGAN
3	06107535	MEDICAID	MISSISSIPPI
4	051060281	OTHER	ALABAMA	BCBS OF ALABAMA
5	114530	MEDICAID	ALABAMA
6	051060276	OTHER	ALABAMA	BCBS OF ALABAMA
7	0H17627440	MEDICARE ID-TYPE UNSPECIFIED	MICHIGAN
8	114527	MEDICAID	ALABAMA
9	051060278	OTHER	ALABAMA	BCBS OF ALABAMA
10	E57521	MEDICARE UPIN	MICHIGAN
11	114528	MEDICAID	ALABAMA
12	102I296600	MEDICARE PIN	ALABAMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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